Individual
KAITLYN TAYLOR KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
575 STADIUM MALL DR, WEST LAFAYETTE, IN 47907-2091
(765) 494-1374
(765) 496-6094
Mailing address
6468 W 113TH CT, CROWN POINT, IN 46307-4274
(219) 333-1166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030449A
IN
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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