BRIAN LEE KAMHOLZ

ROCKFORD, IL
NPI1174804074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051-037671)
Enumeration Date2011-09-06
Last Update Date2011-09-06
Business Address
Mr. BRIAN LEE KAMHOLZ Rph
3803 AUBURN ST
ROCKFORD, IL 61101-2501
Phone number: 815-963-3710
Mailing Address
Mr. BRIAN LEE KAMHOLZ Rph
3803 AUBURN ST
ROCKFORD, IL 61101-2501
Phone number: 815-963-3710