Provider Demographics
NPI:1306063938
Name:KOENIG, CAROLINE E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:E
Last Name:KOENIG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:E
Other - Last Name:CLOETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1090 G76 HWY
Mailing Address - Street 2:
Mailing Address - City:NEW VIRGINIA
Mailing Address - State:IA
Mailing Address - Zip Code:50210-9445
Mailing Address - Country:US
Mailing Address - Phone:641-449-3590
Mailing Address - Fax:641-449-3590
Practice Address - Street 1:4707 FLEUR DR
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-2335
Practice Address - Country:US
Practice Address - Phone:515-285-7133
Practice Address - Fax:515-256-0706
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist