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Individual

MS. COURTNEY L KOVAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM. D

Contact information

Practice address
5065 HONONEGAH RD, ROSCOE, IL 61073-8682
(815) 623-5079
Mailing address
6917 S FOSSUM RD, BRODHEAD, WI 53520-8834
(847) 682-4637

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291601
IL

Other

Enumeration date
08/27/2011
Last updated
08/27/2011
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