Individual
KAREN MARIE BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
280 MAIN ST, COLORADO SPRINGS, CO 80911-1712
(719) 390-9123
(719) 390-5149
Mailing address
280 MAIN ST, COLORADO SPRINGS, CO 80911-1712
(719) 390-9123
(719) 392-5149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14792
CO
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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