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NPI Code Detail

MEDICARE: CHARMAE SOMBERS RPH

MEDICARE:   CHARMAE  SOMBERS  RPH
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
1183500000XPharmacist15399CO

General Provider Information

NPI Number : 1841567450
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMAE SOMBERS RPH
Provider Business Mailing Address
First Line : 5565 PIEDRA VISTA STREET
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-3218
Country : US
Telephone Number : 719-495-6383
Fax Number :
Provider Business Practice Location Address
First Line : 8705 LEXINGTON DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-4309
Country : US
Telephone Number : 719-282-7797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2011
Last Update Date : 11/28/2011

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Directions to “ CHARMAE SOMBERS RPH” Practice Location

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