Provider Demographics
NPI:1699080119
Name:UHRICH, KEZIA J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEZIA
Middle Name:J
Last Name:UHRICH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KEZIA
Other - Middle Name:J
Other - Last Name:SCHWIETERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:103 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:KS
Mailing Address - Zip Code:67748-1711
Mailing Address - Country:US
Mailing Address - Phone:785-672-4727
Mailing Address - Fax:785-672-4757
Practice Address - Street 1:103 CENTER AVE
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:KS
Practice Address - Zip Code:67748-1711
Practice Address - Country:US
Practice Address - Phone:785-672-4727
Practice Address - Fax:785-672-4757
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1-14161OtherKANSAS PHARMACIST LISCENSE