Provider Demographics
NPI:1861589459
Name:KUNTZ, JULIE KATHRYN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:KATHRYN
Last Name:KUNTZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 380TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:IA
Mailing Address - Zip Code:50440-7537
Mailing Address - Country:US
Mailing Address - Phone:641-748-2745
Mailing Address - Fax:
Practice Address - Street 1:910 N EISENHOWER AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-1525
Practice Address - Country:US
Practice Address - Phone:641-422-5630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist