NPI 1053616128

Michael Kuckes, RPH

Practitioner Pharmacist Monroe, WI

Practice location

Address: 405 W 8th St, Monroe, WI 53566-1063
Phone: (608) 325-3310
Mailing address: 5012 N Rink Rd, Lena, IL 61048-9579

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051-037966 (IL)

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Registry record

NPI: 1053616128
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2011
Record last updated: 20 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.