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Individual

KENDALL THERESA KOOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, CPP

Contact information

Practice address
10010 FALLS OF NEUSE RD, RALEIGH, NC 27614-8494
(919) 848-6946
Mailing address
PO BOX 803854, KANSAS CITY, MO 64180-3854
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP457945
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
700622
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093592057
NC
Enumeration date
09/13/2023
Last updated
10/14/2025
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