Individual
DR. CHARLES E KOCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1070 NEW HOLLAND AVE, LANCASTER, PA 17601-5606
(717) 544-3590
(717) 544-3610
Mailing address
1110 ENTERPRISE RD, SUITE C, EAST PETERSBURG, PA 17520-4340
(717) 925-2390
(717) 925-2399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP438674
PA
Other
Enumeration date
11/22/2011
Last updated
10/30/2020
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