Individual
JONATHAN MICHAEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Mailing address
1022 S OAK ST UNIT A, CORTEZ, CO 81321-4110
(806) 543-9095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3171472
ID
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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