Individual
ANDREA JO KOOIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 BINTER ST, FORT KNOX, KY 40121-5160
(502) 624-9222
Mailing address
927 LOWER COLESBURG RD, ELIZABETHTOWN, KY 42701-6181
(270) 300-4175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011701
KY
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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