Individual
MR. BRIAN LEE KAMHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3803 AUBURN ST, ROCKFORD, IL 61101-2501
(815) 963-3710
(815) 963-1776
Mailing address
3803 AUBURN ST, ROCKFORD, IL 61101-2501
(815) 963-3710
(815) 963-1776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-037671
IL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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