Individual
EDWARD KOBIALKA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
HIGHWAY 163, BUILDING KA 2010, KAYENTA, AZ 86033
(928) 697-4165
Mailing address
PO BOX 462, KAYENTA, AZ 86033-0462
(360) 431-3636
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PCT0006502
CT
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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