Individual
OSCAR PAUL CHAVEZ SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4500 WEITZEL ST, TIMNATH, CO 80547-4416
(970) 493-4285
Mailing address
340 BASSWOOD AVE, JOHNSTOWN, CO 80534-9135
(970) 631-1659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21495
CO
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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