Individual
MR. JAMES HENRY KOEHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19509 TRENTON WAY, MOKENA, IL 60448
(708) 878-0591
Mailing address
19509 TRENTON WAY, MOKENA, IL 60448-7828
(708) 878-0591
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051-037055
IL
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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