Susan Virginia Koontz, PHARMD

NPI #1215586110 in Fort White, Florida

Provider Information

NPI Number: 1215586110
Entity Type: Individual
Name: Susan Virginia Koontz, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 4, 2019
Last Updated: Sep 4, 2019

Practice Location

Address: 152 SW SIERRA CT
City: Fort White
State: Florida
ZIP Code: 32038-2772
Phone: (352) 494-9291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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