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Individual
BENJAMIN KOENIG
Active
Individual
BENJAMIN KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202215770
VA
183500000X
Pharmacist
Primary
22497
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202215770
PHARMACIST LICENSE
VA
Enumeration date
10/19/2021
Last updated
12/21/2022
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