Individual
DR. KRISTEN JO KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
817 W MAIN ST, TUPELO, MS 38801-3630
(662) 620-7959
Mailing address
2402 COUNTRY CLUB RD, TUPELO, MS 38804-1106
(662) 255-9131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E12979
MS
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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