Individual
MARK KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3 FREETOWN RD, RAYMOND, NH 03077-2394
(602) 895-0657
Mailing address
15 GALLANT DR, BRENTWOOD, NH 03833-6528
(602) 772-3805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R1852
NH
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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