Provider Demographics
NPI:1871649038
Name:KURZHALS, MONICA (RPH)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:KURZHALS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:MONICA
Other - Middle Name:KURZHALS
Other - Last Name:DECHERING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3377 SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-2914
Mailing Address - Country:US
Mailing Address - Phone:513-598-8498
Mailing Address - Fax:
Practice Address - Street 1:4861 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4456
Practice Address - Country:US
Practice Address - Phone:513-471-1605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-14781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist