Provider Demographics
NPI:1982362851
Name:KUNZ, ALEXIS (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:KUNZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 4TH ST SW STE 110
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-2856
Mailing Address - Country:US
Mailing Address - Phone:641-428-6100
Mailing Address - Fax:641-428-6107
Practice Address - Street 1:1010 4TH ST SW STE 110
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2856
Practice Address - Country:US
Practice Address - Phone:641-428-6100
Practice Address - Fax:641-428-6107
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21237183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist