Most Relevant Information
Provider Data
| NPI Number: | 1003436262 |
| Provider Name: | RONDA MARIE CHAKOLIS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 119824 |
Most Important Dates
| Enumeration Date: | 04/17/2020 |
| Last Updated: | 04/17/2020 |
Provider Practice Location
4656 EXCELSIOR BLVD
SAINT LOUIS PARK
MN
554164938
Practice Location Phone/Fax
| Phone: | 9529290140 |
| Fax: |
Provider Mailing Location
3934 WASHBURN AVE N
MINNEAPOLIS
MN
554121825
Provider Mailing Phone/Fax
| Phone: | 6123884142 |
| Fax: |