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Individual

DR. MICHAEL JOSEPH KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
1130 S BELLEVUE BLVD, MEMPHIS, TN 38106-2331
(901) 946-3676
(901) 948-9996
Mailing address
1130 S BELLEVUE BLVD, MEMPHIS, TN 38106-2331
(901) 946-3676
(901) 948-9996

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24537
TN

Other

Enumeration date
09/12/2011
Last updated
09/12/2011
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