Individual provider · Type 1 NPI

Cody Lee Hattenberger, PharmD

Pharmacist · Mcconnell Afb, KS

NPI number 1083103154 Active

Practice location

57950 Leavenworth St
Mcconnell Afb, KS 67221-3506

Call (163) 759-5277 Map

Mailing address

15835 W Supai Dr
Goodyear, AZ 85338-3301

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS023388 (AZ)

Pharmacist: 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…

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About NPI 1083103154

Cody Lee Hattenberger, PharmD's National Provider Identifier is 1083103154, issued on May 4, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mcconnell Afb, KS. The record was last updated on Aug 6, 2021.