NPI 1043505506

Steven George Koenecke, RPH

Practitioner Pharmacist Wheat Ridge, CO

Practice location

Address: 5071 Kipling St, Wheat Ridge, CO 80033-2251
Phone: (303) 209-1849
Fax: (303) 209-1849

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10144 (CO)

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Registry record

NPI: 1043505506
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2011
Record last updated: 13 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.