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Organization

KOHLER PROFESSIONAL PHARMACY LLC

Active
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Organization

KOHLER PROFESSIONAL PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT WINTERS (OWNER)
(719) 473-1823
Entity
Organization

Contact information

Practice address
1007 ELKTON DRIVE, COLORADO SPRINGS, CO 80907-7556
(719) 473-1823
(719) 634-6005
Mailing address
1007 ELKTON DR, COLORADO SPRINGS, CO 80907-3539
(719) 473-1823
(719) 634-6005

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
240000032
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200577110A
KS
05
34608087
CO
Enumeration date
03/19/2007
Last updated
01/13/2012
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