Provider Demographics
NPI:1477634475
Name:KUNZE, VALERIE KAY (PHARMD, RPH)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:KAY
Last Name:KUNZE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 3RD AVE. NW
Mailing Address - Street 2:
Mailing Address - City:BOWMAN
Mailing Address - State:ND
Mailing Address - Zip Code:58623-0828
Mailing Address - Country:US
Mailing Address - Phone:701-523-5567
Mailing Address - Fax:
Practice Address - Street 1:14 6TH AVE. SW
Practice Address - Street 2:
Practice Address - City:BOWMAN
Practice Address - State:ND
Practice Address - Zip Code:58623
Practice Address - Country:US
Practice Address - Phone:701-523-5267
Practice Address - Fax:701-523-7104
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND4531OtherND STATE PHARMACY LICENSE