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KENDA LEE FORT PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1821681800

Individual Registrant:
 KENDA LEE FORT PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
102 RABBIT RD  CARBONDALE, CO 81623-8736 US
Tel: 970-544-1189  Fax: --

Contact information for business:
102 RABBIT RD  CARBONDALE, CO 81623-8736 US
Tel: --  Fax: --

Registration Information:
NPI: 1821681800
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO18029

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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