Cody Sean Deforest
Cody Sean Deforest is a Pharmacist in Salmon, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
309 Main StSalmon, ID 83467-4114
Phone: (208) 742-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence P10698 (ID) |
|---|
Record details
| NPI number | 1679259121 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 27, 2023 |
| Last updated in NPPES | June 27, 2023 |
| Certification date | June 27, 2023 |
| Mailing address | 309 Main St, Salmon, ID 83467-4114 |
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