Individual
MR. JOHN KOSCIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1620 CENTURY CENTER PKWY, SUITE 101, MEMPHIS, TN 38134-0181
(901) 381-7400
Mailing address
1620 CENTURY CENTER PKWY, SUITE 101, MEMPHIS, TN 38134-0181
(901) 381-7400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4388
TN
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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