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1669098117
CODY DOUGLAS WISE
FARGO, ND
NPI
1669098117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ND RPh6211)
Enumeration Date
2020-06-21
Last Update Date
2020-06-21
Business Address
Dr. CODY DOUGLAS WISE PharmD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-2000
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Mailing Address
Dr. CODY DOUGLAS WISE PharmD
5360 28TH AVE S APT 206
FARGO, ND 58104-5935
Phone number: 269-240-3162
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