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Individual

EMILY CISCO KOENIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
401 MOYE BLVD, GREENVILLE, NC 27834-2885
(252) 830-8214
Mailing address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE CENTER (119) - PHARMACY, BOSTON, MA 02130-4817

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
014972
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
014972
KY

Other

Enumeration date
06/28/2010
Last updated
05/07/2025
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