Individual
CHAD GLENN COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2500 OVERLOOK TERRACE, MADISON, WI 53705
(608) 256-1901
Mailing address
5410 NOBEL DRIVE APT 309, FITCHBURG, WI 53711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19664
NV
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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