Individual
MRS. NATALIE LAYNE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-6890
(701) 530-6891
Mailing address
900 E BROADWAY AVE, PO BOX 5510, BISMARCK, ND 58501-4520
(701) 530-6890
(701) 530-6891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5064
ND
Other
Enumeration date
01/23/2007
Last updated
03/30/2012
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