Individual
MR. THOMAS PAUL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(607) 347-2511
Mailing address
619 ENGLEWOOD CT, SPEARFISH, SD 57783-1118
(605) 722-5122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12310
CO
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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