MEDICARE: CHRISTOPHER PAUL KOZENSKI PHARMD

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	2224240	WI

General Provider Information

NPI Number	:	1992699060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PAUL KOZENSKI PHARMD

Provider Business Mailing Address
First Line	:	875 E WISCONSIN AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-5404
Country	:	US
Telephone Number	:	414-231-6078
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 E GARFIELD AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-3473
Country	:	US
Telephone Number	:	414-374-8769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	05/21/2026

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