Individual
THOMAS C KUZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-4874
Mailing address
1234 COMMERCIAL ST SE, SALEM, OR 97302-4204
(503) 362-4874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0005554
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148809
—
OR
Enumeration date
10/23/2006
Last updated
03/17/2009
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