Chanelle L Duvall, PHARMD
Individual provider Active NPI Pharmacist · Eads, CO
NPI 1659045482 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1659045482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23600 (CO)
- Practice address
- 1201 Maine St
Eads, CO 81036-9900 - Phone
- (719) 438-5843
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23600 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Services Inc | Past | Accepting new patients | |
| Pharmacy Services Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23600 | CO | Yes |
Addresses
Primary practice location
1201 Maine St
Eads, CO 81036-9900
Mailing address
PO Box 10
Eads, CO 81036-0010
Phone (719) 438-5832
Other practice location 1
1700 S Main St
LaMar, CO 81052-3827
Phone (719) 336-3200
Other providers in Eads, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.