Individual
DR. CHASE KOOYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
1901 MILWAUKEE AVE, BURLINGTON, WI 53105-9799
(262) 767-1902
Mailing address
N30W23861 GREEN RD APT 2, PEWAUKEE, WI 53072-5742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19981-40
WI
Other
Enumeration date
07/18/2019
Last updated
01/19/2022
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