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Individual
MR. KENNETH W. KOSCINSKI
Active
Individual
MR. KENNETH W. KOSCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040911L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP040911L
PHARMACY STATE LICENSE
PA
01
—
RPI000956
PHARMACY IMMUNIZER
—
Enumeration date
10/05/2011
Last updated
10/05/2011
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