Cody Sean Deforest

Pharmacist · Salmon, ID

Individual Active NPI

NPI number 1679259121

Practice location

309 Main St
Salmon, ID 83467-4114
Phone
(208) 742-3784

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NPI record

NPI
1679259121
Entity type
Individual (Type 1)
Enumeration date
June 27, 2023
Last updated
June 27, 2023
Certified
June 27, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X P10698 ID

About Cody Deforest

Cody Sean Deforest is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 309 Main St, Salmon, ID 83467-4114. The NPI number 1679259121 was assigned on June 27, 2023 and the record was last updated on June 27, 2023.

Cody Deforest lists a license in the registry: #P10698 (ID) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cody Sean Deforest?

The NPI number is 1679259121.

What is the phone number of Cody Deforest?

The phone number listed for the practice location is (208) 742-3784.

Where is Cody Deforest located?

309 Main St, Salmon, ID 83467-4114.

What is the taxonomy code for Cody Deforest?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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