Healthcare Provider Details

I. General information

NPI: 1326671900
Provider Name (Legal Business Name): KAYLA MARIE WURTZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA MARIE WEHRMAN PHARMD

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 N ORANGE ST # 2
RICHLAND CENTER WI
53581-2163
US

IV. Provider business mailing address

190 N ORANGE ST # 2
RICHLAND CENTER WI
53581-2163
US

V. Phone/Fax

Practice location:
  • Phone: 608-647-8918
  • Fax:
Mailing address:
  • Phone: 608-647-8918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20029-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: