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DR. CHANELLE L DUVALL PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1659045482

Individual Registrant:
DR. CHANELLE L DUVALL PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1201 MAINE ST  EADS, CO 81036-9900 US
Tel: 719-438-5843  Fax: --

Contact information for business:
PO BOX 10  EADS, CO 81036-0010 US
Tel: 719-438-5832  Fax: --

Registration Information:
NPI: 1659045482
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO23600

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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