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NPI Code Detail

MEDICARE: WELDON KOECH

MEDICARE: WELDON KOECH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist44177TX

General Provider Information

NPI Number : 1427334010
Entity Type Code : Individual
Provider Name (Legal Business Name) : WELDON KOECH
Provider Business Mailing Address
First Line : 5069 BLANCO DR
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-5545
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4520 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2635
Country : US
Telephone Number : 817-514-8063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2011
Last Update Date : 10/26/2011

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Directions to “ WELDON KOECH ” Practice Location

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