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CODY SCOTT PICKENS PHARM.D.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1215591912
Individual Registrant: CODY SCOTT PICKENS PHARM.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
218 S HIGHWAY 71 WEWAHITCHKA, FL 32465-4305 US
Tel: 850-639-2252 Fax: 850-639-4077
Tel: 850-639-2252 Fax: 850-639-4077
Contact information for business:
218 S HIGHWAY 71 WEWAHITCHKA, FL 32465-4305 US
Tel: 850-209-8407 Fax: 850-639-4077
Tel: 850-209-8407 Fax: 850-639-4077
Registration Information:
NPI: 1215591912
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 183500000X | Pharmacy Service Providers Pharmacist | AL | 20804 |
| Y | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS58008 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
