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NPI Code Detail

MEDICARE: CHRIS M KOTASKA PHARMD

MEDICARE: CHRIS M KOTASKA PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist37305TX

General Provider Information

NPI Number : 1619571569
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS M KOTASKA PHARMD
Provider Business Mailing Address
First Line : 5903 WESSEX CT
Second Line :
City : ALLEN
State : TX
Zip : 75002-5455
Country : US
Telephone Number : 214-563-5417
Fax Number :
Provider Business Practice Location Address
First Line : 1540 E MAIN ST
Second Line :
City : ALLEN
State : TX
Zip : 75002-4486
Country : US
Telephone Number : 214-383-9765
Fax Number : 214-383-9771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2020
Last Update Date : 11/22/2020

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Directions to “ CHRIS M KOTASKA PHARMD” Practice Location

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