Cody Sean Deforest is a Pharmacist based in Salmon, ID. Cody Sean Deforest practices in Salmon, ID. The NPI Number for Cody Sean Deforest is 1679259121 and holds a License No. P10698 (Idaho).
The current practice location address for Cody Sean Deforest is 309 Main St, Salmon, ID and can be reached out via phone at 208-742-3784.
Location: 309 Main St, Salmon, ID, 83467-4114
Provider Profile Details
NPI Number
1679259121
Provider Name
Cody Sean Deforest
Credential
Provider Entity Type
Individual
Gender
Male
Address
309 Main St, Salmon, ID, 83467-4114
Phone Number
208-742-3784
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
309 Main St
City
State
Zip
83467-4114
Phone Number
208-742-3784
Fax Number
Provider Business Mailing Address Details
Address
309 Main St
City
State
Zip
83467-4114
Phone Number
208-742-3784
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
P10698 (Idaho)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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