Individual
GAY KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5005 CHURCH ST, ZACHARY, LA 70791-3511
(225) 654-6388
Mailing address
5765 DEANNE MARIE DR, ZACHARY, LA 70791-2649
(225) 620-4142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18521
LA
Other
Enumeration date
01/18/2011
Last updated
07/23/2013
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