Individual
CODY PHILLIP SALYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4106 FORT HENRY DR, KINGSPORT, TN 37663-2226
(423) 239-5118
Mailing address
4106 FORT HENRY DR, KINGSPORT, TN 37663-2226
(423) 239-5118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202214887
VA
183500000X
Pharmacist
Primary
40470
TN
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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