Individual
JEFFREY KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6700 WHITE HORSE RD, GREENVILLE, SC 29611-2504
(864) 246-6641
Mailing address
230 ROPER MOUNTAIN ROAD EXT, APT. 937J, GREENVILLE, SC 29615-4825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12599
SC
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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