Individual
DR. CHRISTINA KOUKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
609 N SPRING ST, BEAVER DAM, WI 53916-2040
(920) 885-3277
(920) 885-3570
Mailing address
N9044 BASSWOOD RD, BEAVER DAM, WI 53916-9466
(815) 323-3276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14974-40
WI
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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