Individual
MS. ANGELA DAWN KONECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
E HIGHWAY 262, MONTEZUMA CREEK CLINIC CHC PHARMACY, MONTEZUMA CREEK, UT 84534
(435) 651-3707
(435) 651-3463
Mailing address
PO BOX 130, MONTEZUMA CREEK CLINIC CHC PHARMACY, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3707
(435) 651-3463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7147485-1701
UT
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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