Individual
DR. CODY DARRYL IRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1619 W MARKET ST, JOHNSON CITY, TN 37604-6018
(423) 926-9137
Mailing address
1619 W MARKET ST, JOHNSON CITY, TN 37604-6018
(423) 926-9137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41185
TN
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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