Individual
AUTUMN ALEXA KONIOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5001 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-4513
(336) 659-0391
Mailing address
5001 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-4513
(336) 659-0391
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28128
NC
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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