Individual
VETALISE CHEOFOR KONJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
313 S ROOSEVELT DR, SEASIDE, OR 97138-6743
(503) 738-8422
Mailing address
6590 ROBINDALE DR, YPSILANTI, MI 48197-6137
(734) 444-7862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0019932
OR
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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