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Individual

JOSEPH KOONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
306 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4228
(336) 838-3782
(336) 838-2432
Mailing address
306 WILKESBORO AVE, NORTH WILKESBORO, NC 28659-4228
(336) 838-3782
(336) 838-2432

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8752
NC

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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