Provider Demographics
NPI:1740551274
Name:KULINSKI, THOMAS T (RPH)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:T
Last Name:KULINSKI
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:W311S8976 CHEROKEE PASS
Mailing Address - Street 2:
Mailing Address - City:MUKWONAGO
Mailing Address - State:WI
Mailing Address - Zip Code:53149-8840
Mailing Address - Country:US
Mailing Address - Phone:262-363-4212
Mailing Address - Fax:
Practice Address - Street 1:W311S8976 CHEROKEE PASS
Practice Address - Street 2:
Practice Address - City:MUKWONAGO
Practice Address - State:WI
Practice Address - Zip Code:53149-8840
Practice Address - Country:US
Practice Address - Phone:262-363-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9405-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist