Dr. Chase Kooyman, PharmD, RPh
Pharmacist in Burlington, WI. Individual provider (NPI-1).
NPI number1033762000
StatusActive
Last updated in NPPESJan 19, 2022
Details
- NPI
- 1033762000
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chase Kooyman
- Credential
- PharmD, RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2019
- Certification date
- Jan 19, 2022
- Last updated
- Jan 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 19981-40 | WI | Yes |
Practice location
1901 Milwaukee AveBurlington, WI 53105-9799
Phone 262-767-1902
Mailing address
N30w23861 Green Rd Apt 2Pewaukee, WI 53072-5742
Other practice locations
791 Summit Ave
Oconomowoc, WI 53066-3844
Oconomowoc, WI 53066-3844
Phone 262-569-9400
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