Provider Demographics
NPI:1750979985
Name:KOHLMANN, DEBORAH MARIE (RPH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MARIE
Last Name:KOHLMANN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ROBERT ST S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-3924
Mailing Address - Country:US
Mailing Address - Phone:651-451-1113
Mailing Address - Fax:651-451-1909
Practice Address - Street 1:2001 ROBERT ST S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3924
Practice Address - Country:US
Practice Address - Phone:651-451-1113
Practice Address - Fax:651-451-1909
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist