Individual
MICHAEL JOHN KOENIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2750 E MISSION BLVD, FAYETTEVILLE, AR 72703-3262
(479) 442-2134
Mailing address
2750 E MISSION BLVD, FAYETTEVILLE, AR 72703-3262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11418
AR
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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