Individual
CODY SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
618 S MAIN ST, NORTH WEBSTER, IN 46555-9228
(574) 834-4772
Mailing address
PO BOX 241, NORTH WEBSTER, IN 46555-0241
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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