Individual
CODY F SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 S GLENSTONE AVE, SPRINGFIELD, MO 65804-0302
(417) 520-1525
(417) 520-1520
Mailing address
1320 S GLENSTONE AVE, SPRINGFIELD, MO 65804-0302
(417) 520-1525
(417) 520-1520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017019938
MO
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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