Wiltz, Kevin Anthony

Wiltz, Kevin Anthony is an individual health care provider with primary practice located at 3200 Lake Emma Rd Unit 1000 , Lake Mary FL 32746-3358. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Wiltz, Kevin Anthony can be contacted via phone (855) 733-3126.

Contact Information

Primary practice address
3200 Lake Emma Rd Unit 1000 Lake Mary FL 32746-3358
Phone: (855) 733-3126
Fax: (407) 708-1834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PS38882 Florida
Pharmacy Service Providers / Pharmacist 183500000X PS38882 Florida

Profile Details

NPI number 1821078064
LBN Legal business name Wiltz, Kevin Anthony
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821078064 NPPES
Florida Other PS38882 LICENSE NUMBER

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