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STEPHANIE CHONKA PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1144521659

Individual Registrant:
 STEPHANIE  CHONKA PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
620 W PLATTE AVE  FORT MORGAN, CO 80701-2652 US
Tel: 970-867-3027  Fax: --

Contact information for business:
1020 15TH ST APT 18C DENVER, CO 80202-2300 US
Tel: --  Fax: --

Registration Information:
NPI: 1144521659
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CO18481

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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