Individual
DR. JENNIFER KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
819 N MEMORIAL DR, RACINE, WI 53404-3270
(262) 637-4900
Mailing address
819 N MEMORIAL DR, RACINE, WI 53404-3270
(262) 637-4900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051295544
IL
183500000X
Pharmacist
Primary
16267-40
WI
Other
Enumeration date
10/14/2011
Last updated
03/23/2015
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