Individual
MR. PAUL DENNIS KOZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2615 EASTERN AVE, PLYMOUTH, WI 53073-4270
(920) 892-4182
(920) 893-5973
Mailing address
N5340 LORAINE DR, FREDONIA, WI 53021-9765
(262) 692-3715
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10884
WI
183500000X
Pharmacist
13237
CO
183500000X
Pharmacist
2972
WY
183500000X
Pharmacist
4063
ND
3336C0003X
Community/Retail Pharmacy
10884
WI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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