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Individual

EUGENE T BOCKRATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2431 N UNION BLVD, COLORADO SPRINGS, CO 80909-1107
(719) 630-3154
(719) 630-1640
Mailing address
2431 N UNION BLVD, COLORADO SPRINGS, CO 80909-1107
(719) 630-3154

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03577319
CO
Enumeration date
06/17/2009
Last updated
10/15/2016
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