Individual
MR. CRAIG S KONZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
545 CHARLESTON RD, WELLSBORO, PA 16901-8351
(570) 723-1079
Mailing address
545 CHARLESTON ROAD, WELLSBORO, PA 16901
(570) 723-1079
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
RP440470
PA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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