Individual
KATHY RAY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
315 W 2ND ST, LA JUNTA, CO 81050-1419
(719) 384-6616
(719) 384-7610
Mailing address
315 W 2ND ST, LA JUNTA, CO 81050-1419
(719) 384-6616
(719) 384-7610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12333
CO
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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