Provider Demographics
NPI:1699952192
Name:KUHRT, MARILYN LEE (RPH)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:LEE
Last Name:KUHRT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:LEE
Other - Last Name:WININGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16602 TEMPEST DR
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-8147
Mailing Address - Country:US
Mailing Address - Phone:608-792-5212
Mailing Address - Fax:251-965-7790
Practice Address - Street 1:916 KEITH PL
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-2678
Practice Address - Country:US
Practice Address - Phone:608-792-5212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIR9781-040183500000X
AL16391183500000X
FLPS46940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS46940OtherFLORIDA LICENSE NUMBER
AL16391OtherALABAMA STATE PHARMACY LICENSE NUMBER