Provider Demographics
NPI:1396027439
Name:WILHELM, KURT A (RPH)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:A
Last Name:WILHELM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SILVER RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9123
Mailing Address - Country:US
Mailing Address - Phone:302-376-6635
Mailing Address - Fax:
Practice Address - Street 1:801 SILVER RUN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-9123
Practice Address - Country:US
Practice Address - Phone:302-376-6635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0001969183500000X
MD10712183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist