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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