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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARRY ODELL KOONTZ

Active

GARRY ODELL KOONTZ is a Pharmacist healthcare provider located in NORTH PORT, Florida. NPI 1568709400 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · NORTH PORT, FL

Registration Details

NPI Number
1568709400
Provider Type
Individual
Gender
Male
NPI Issued
Jan 11, 2013 (13.582915801376 yrs)
Last Updated
Jan 11, 2013
Licenses
PS0025245 (FL)
07806 (NC)
RPH015444 (GA)

Practice Information

Address
17179 TAMIAMI TRL
NORTH PORT, FL, 342877291
Browse FL providers · Browse ZIP 34287
Phone
9414268577
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in NORTH PORT, FL

Name Credential NPI
MR. WALTER THEODORE SENICK PHARMACIST 1265407779
MR. JOSEPH A WOODFORD RPH 1154412641
CANDICE CHANTRACY TATUM 1235375338
MS. ANDREA BETH LUKACH 1609191527
TRAVIS OGWYNN PHARMD 1326329863
MR. BALAJI LAKSHMINARAYANAN B.PHARM 1134406234
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.