Individual
DR. IVANNE LYNNE CHIOVOLONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., NCPS, BCPS
Contact information
Practice address
855 MARKOMA CIRCLE, TAHLEQUAH, OK 74464
(918) 207-3987
Mailing address
PO BOX 1069, TAHLEQUAH, OK 74465-1069
(918) 207-3987
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
13161
OK
Other
Enumeration date
12/20/2005
Last updated
01/27/2011
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