Individual
JILL MARIE KUNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7520 118TH AVE, PLEASANT PRAIRIE, WI 53158-1128
(262) 857-9484
(262) 857-2707
Mailing address
7520 118TH AVE, PLEASANT PRAIRIE, WI 53158-1128
(262) 857-9484
(262) 857-2707
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14174-40
WI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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