Healthcare Provider Details

I. General information

NPI: 1831738822
Provider Name (Legal Business Name): DENNIS LEROY KURZ RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2019
Last Update Date: 12/07/2025
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 N WESTWOOD BLVD
POPLAR BLUFF MO
63901-2345
US

IV. Provider business mailing address

2770 N WESTWOOD BLVD
POPLAR BLUFF MO
63901-2345
US

V. Phone/Fax

Practice location:
  • Phone: 573-686-6974
  • Fax: 573-686-6975
Mailing address:
  • Phone: 573-686-6974
  • Fax: 573-686-6975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number044487
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: