Provider Demographics
NPI:1306132659
Name:KUHNZ, BENJAMIN W (PHARMD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:W
Last Name:KUHNZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N95W17707 SHADY LN
Mailing Address - Street 2:TARGET T0863
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-8012
Mailing Address - Country:US
Mailing Address - Phone:262-415-0005
Mailing Address - Fax:
Practice Address - Street 1:N95W17707 SHADY LN
Practice Address - Street 2:TARGET T0863
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-8012
Practice Address - Country:US
Practice Address - Phone:262-415-0005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13967-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist