Individual
JEFFREY EDWARD CHIAVINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E. MAGNOLIA ST, FORT COLLINS, CO 80524
(970) 493-3934
Mailing address
1250 E. MAGNOLIA ST, FORT COLLINS, CO 80524
(970) 493-3934
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000029732
TN
183500000X
Pharmacist
051033921
IL
183500000X
Pharmacist
Primary
20060
CO
Other
Enumeration date
10/17/2011
Last updated
02/14/2017
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