Individual
THOMAS KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5551 CORPORATE BLVD, SUITE 102, BATON ROUGE, LA 70808-2567
(225) 924-1930
(877) 625-3210
Mailing address
5551 CORPORATE BLVD, SUITE 102, BATON ROUGE, LA 70808-2567
(225) 924-1930
(877) 625-3210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000033370
TN
183500000X
Pharmacist
0011532
OR
183500000X
Pharmacist
014430
KY
183500000X
Pharmacist
0202209407
VA
183500000X
Pharmacist
03226166
OH
183500000X
Pharmacist
19023
AL
183500000X
Pharmacist
2011017105
MO
183500000X
Pharmacist
21574
MD
183500000X
Pharmacist
Primary
39766
TX
183500000X
Pharmacist
5302043049
MI
183500000X
Pharmacist
PD10890
AR
183500000X
Pharmacist
PST.018717
LA
183500000X
Pharmacist
RP0008392
WV
183500000X
Pharmacist
RP033607L
PA
183500000X
Pharmacist
T-12461
MS
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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