Individual
MR. FRASER RICHARD CZAJKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1121 N CIRCLE DR, COLORADO SPRINGS, CO 80909-3134
(719) 573-6061
(719) 573-1059
Mailing address
328 RANGEVIEW RD, DIVIDE, CO 80814-8107
(719) 258-0038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18311
CO
Other
Enumeration date
04/20/2007
Last updated
10/26/2010
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