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NPI Code Detail

MEDICARE: JOHN J KOTZUR

MEDICARE: JOHN J KOTZUR
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy6417TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22102511OTHERPK

General Provider Information

NPI Number : 1841375136
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN J KOTZUR
Provider Business Mailing Address
First Line : 214 E CALVERT AVE
Second Line :
City : KARNES CITY
State : TX
Zip : 78118-3210
Country : US
Telephone Number : 830-780-2224
Fax Number : 830-780-2404
Provider Business Practice Location Address
First Line : 214 E CALVERT AVE
Second Line :
City : KARNES CITY
State : TX
Zip : 78118-3210
Country : US
Telephone Number : 830-780-2224
Fax Number : 830-780-2404
Authorized Official
Title or Position : OWNER
Name : JOHN KOTZUR
Credential : PHRM
Telephone Number : 830-780-2224
Provider Enumeration Date : 10/26/2006
Last Update Date : 03/20/2014

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