Individual
ISELA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1301 MAIN ST, ALAMOSA, CO 81101-2120
(719) 587-3076
Mailing address
PO BOX 1392, DENVER, CO 80201-1392
(719) 849-9018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18580
CO
Other
Enumeration date
11/15/2010
Last updated
12/11/2011
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