Individual
WILLIAM RANDALL KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHARMACY 119, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHARMACY 119, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9040
OK
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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