Individual
STEPHANIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3307 BARADA ST, FALLS CITY, NE 68355-2470
(402) 245-2428
Mailing address
18480 CHICAGO CT APT 302, ELKHORN, NE 68022-7937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15864
NE
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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