Provider Demographics
NPI:1245524511
Name:LACHOWITZER, CHAD STEVEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:STEVEN
Last Name:LACHOWITZER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11990 BUSINESS PARK BLVD N
Mailing Address - Street 2:T1831
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-2005
Mailing Address - Country:US
Mailing Address - Phone:763-354-1007
Mailing Address - Fax:763-354-1007
Practice Address - Street 1:11990 BUSINESS PARK BLVD N
Practice Address - Street 2:T1831
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316-2005
Practice Address - Country:US
Practice Address - Phone:763-354-1007
Practice Address - Fax:763-354-1007
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist