Individual
CHARLES ROBERT KONKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4865 DIXIE HWY, FAIRFIELD, OH 45014-1932
(513) 335-8696
Mailing address
2689 BECKETT ST, LEBANON, OH 45036-1102
(513) 335-8696
(513) 409-5653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18493
OH
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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