Individual
CONNIE MARIE CHALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH., C.M.C.
Contact information
Practice address
426 N MICHIGAN ST, SOUTH BEND, IN 46601-1228
(574) 234-3184
(574) 289-1940
Mailing address
59225 SKYVIEW DR, SOUTH BEND, IN 46614-4134
(574) 282-1759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014709
IN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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