Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody W Moller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568956985

Cody W Moller is a Student in an Organized Health Care Education/Training Program in Waterville, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

210 Main St
Waterville, ME 04901-6116
Phone: (207) 877-9004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 College Cir, Bangor, ME 04401-2999 — (973) 775-2150

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PR69999 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PI46432 (ME)

Record details

NPI number1568956985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 29, 2021
Mailing address47 Constitution Way, Franklin, NJ 07416-2149

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