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NPI Code Detail

MEDICARE: MR. DAVID R KAUFMAN JR. RPH

MEDICARE: MR. DAVID R KAUFMAN JR. RPH
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
1183500000XPharmacist12127040WI

General Provider Information

NPI Number : 1558379438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID R KAUFMAN JR. RPH
Provider Business Mailing Address
First Line : 3144 VANZILE RD
Second Line :
City : CRANDON
State : WI
Zip : 54520-8149
Country : US
Telephone Number : 715-478-6429
Fax Number :
Provider Business Practice Location Address
First Line : 3144 VANZILE RD
Second Line :
City : CRANDON
State : WI
Zip : 54520-8149
Country : US
Telephone Number : 715-478-6429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 11/16/2020

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