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NPI Code Detail

MEDICARE: OK CHO PHARMD

MEDICARE: OK CHO 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
1183500000XPharmacist20031CO

General Provider Information

NPI Number : 1952735318
Entity Type Code : Individual
Provider Name (Legal Business Name) : OK CHO PHARMD
Provider Business Mailing Address
First Line : 3414 E LA SALLE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3414 E LA SALLE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2565
Country : US
Telephone Number : 719-200-7154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2013
Last Update Date : 08/21/2013

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Directions to “ OK CHO PHARMD” Practice Location

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