Individual
OK CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3414 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2565
(719) 200-7154
Mailing address
3414 E LA SALLE ST, COLORADO SPRINGS, CO 80909-2565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20031
CO
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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