Individual
STEPHANIE CHONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
620 W PLATTE AVE, FORT MORGAN, CO 80701-2652
(970) 867-3027
Mailing address
1020 15TH ST, APT 18C, DENVER, CO 80202-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18481
CO
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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