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Search › Louisiana › 183500000X

Thomas Koontz, RPH

NPI 1790149854 · on the registry since 2016 · sole proprietor

Practice

Address
5551 Corporate Blvd
Suite 102
Baton Rouge, LA 70808
Phone
(225) 924-1930
Fax
(877) 625-3210
Organisation at this address
Avita Drugs Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
183500000X
Licence states on file
TX, LA, WV, MD, OH, PA, MO, TN, MS, AR, VA, AL, KY, MI, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana