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NPI Code Detail

MEDICARE: MR. FERRIS M KUNZ RPH

MEDICARE: MR. FERRIS M KUNZ 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
1183500000XPharmacist140242-1701UT

General Provider Information

NPI Number : 1205848470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FERRIS M KUNZ RPH
Provider Business Mailing Address
First Line : 352 W 1115 N
Second Line :
City : SUNSET
State : UT
Zip : 84015-3608
Country : US
Telephone Number : 801-773-8171
Fax Number :
Provider Business Practice Location Address
First Line : 26 S MAIN ST
Second Line :
City : CENTERVILLE
State : UT
Zip : 84014-1817
Country : US
Telephone Number : 801-693-7950
Fax Number : 801-693-7955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/08/2007

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