Individual
JAMINE KURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 COMMERCE DR, COLUMBUS, WI 53925-9567
(920) 623-9183
(920) 623-3749
Mailing address
200 COMMERCE DR, COLUMBUS, WI 53925-9567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15213-40
WI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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