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Search › Pennsylvania › 367500000X

Cody Clark

NPI 1720442866 · on the registry since 2016 · sole proprietor

Practice

Address
252 S 4th St
Lebanon, PA 17042
Phone
(717) 270-7500
Fax
(717) 228-1642
Organisation at this address
Wellspan Pharmacy Inc
Wellspan Medical Group
Wellspan Medical Group
Wellspan Medical Group
Wellspan Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
157

Additional practice sites

  • 169 Martin Ave, Ephrata, PA
  • 25 Monument Rd Ste 270, York, PA
  • 1001 S George St, York, PA
  • 55 Monument Rd, York, PA

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-02

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 Pennsylvania