MEDICARE: MS. KAREN CODY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10895	NC

General Provider Information

NPI Number	:	1811283559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN CODY RPH

Provider Business Mailing Address
First Line	:	1910 CARAWBA VALLEY BLVD SE
Second Line	:	TARGET PHARMACY T-1181
City	:	HICKORY
State	:	NC
Zip	:	28602-4146
Country	:	US
Telephone Number	:	828-267-0749
Fax Number	:	828-267-0749

Provider Business Practice Location Address
First Line	:	1910 CATAWBA VALLEY BLVD SE
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-4146
Country	:	US
Telephone Number	:	828-267-0749
Fax Number	:	828-267-0749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	06/21/2011

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