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Individual

DR. LUTHER BOYD KOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2154 GOODMAN RD W, HORN LAKE, MS 38637-1303
(662) 393-9200
Mailing address
5148 HIGHWAY 51 N, SENATOBIA, MS 38668-1720

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000041091
TN
183500000X
Pharmacist
Primary
E-14903
MS

Other

Enumeration date
07/13/2011
Last updated
05/23/2019
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