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KENDA LEE FORT PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1821681800
Individual Registrant: KENDA LEE FORT PHARMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
102 RABBIT RD CARBONDALE, CO 81623-8736 US
Tel: 970-544-1189 Fax: --
Tel: 970-544-1189 Fax: --
Contact information for business:
102 RABBIT RD CARBONDALE, CO 81623-8736 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1821681800
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CO | 18029 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
