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Individual

MR. DANIEL BRIAN KOONTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
200 STATE HOSPITAL DR, DANVILLE, PA 17821-9103
(570) 271-4536
(570) 271-4537
Mailing address
RR 2 BOX 64B1, SUNBURY, PA 17801-9576

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
14271
NV
183500000X
Pharmacist
Primary
RP439046
PA

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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