Individual
MRS. HEATHER KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
501 MARKETPLACE BLVD, T-2439, SELINSGROVE, PA 17870-2407
(570) 743-4931
(570) 743-4941
Mailing address
501 MARKETPLACE BLVD, T-2439, SELINSGROVE, PA 17870-2407
(570) 743-4931
(570) 743-4941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044897L
PA
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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