Provider Demographics
NPI:1710264239
Name:ULUKAN-KURUCAY, HULYA (PHD)
Entity Type:Individual
Prefix:DR
First Name:HULYA
Middle Name:
Last Name:ULUKAN-KURUCAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W218N5443 TAYLORS WOODS DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-6259
Mailing Address - Country:US
Mailing Address - Phone:262-252-4147
Mailing Address - Fax:
Practice Address - Street 1:2656 WAUWATOSA AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-1137
Practice Address - Country:US
Practice Address - Phone:414-453-9630
Practice Address - Fax:414-453-0861
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13799-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist