Provider Demographics
NPI:1639770845
Name:DULAK, KARLEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KARLEE
Middle Name:
Last Name:DULAK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KARLEE
Other - Middle Name:
Other - Last Name:KAMPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2867 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-4682
Mailing Address - Country:US
Mailing Address - Phone:608-732-3859
Mailing Address - Fax:
Practice Address - Street 1:2000 N DEWEY AVE
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1049
Practice Address - Country:US
Practice Address - Phone:608-768-6261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist