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Cody Deforest
NPI 1679259121 · on the registry since 2023
Practice
- Address
- 309 Main St
Salmon, ID 83467 - Phone
- (208) 742-3784
- Organisation at this address
- Salmon Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho