Kenneth Joseph Kossack, RPH - Pharmacist in Lakeville, MN

Kenneth Joseph Kossack, RPH is a Pharmacist based in Lakeville, Minnesota. Kenneth Joseph Kossack is licensed to practice in Minnesota (license number 117176) and his current practice location is 18667 Irvine Way, Lakeville, Minnesota. He can be reached at his office (for appointments etc.) via phone at (952) 469-8507.

NPI number for Kenneth Joseph Kossack is 1720359888 and his current mailing address is 18667 Irvine Way, Lakeville, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720359888.

Contact Information

Kenneth Joseph Kossack, RPH
18667 Irvine Way,
Lakeville, MN 55044-4492
(952) 469-8507
(952) 469-8507

Map and Direction


Healthcare Provider's Profile

Full NameKenneth Joseph Kossack
GenderMale
SpecialityPharmacist
Location18667 Irvine Way, Lakeville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720359888
  • Provider Enumeration Date: 01/21/2012
  • Last Update Date: 01/21/2012

Medical Identifiers

Medical identifiers for Kenneth Joseph Kossack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720359888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 117176 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Joseph Kossack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Joseph Kossack, RPH
18667 Irvine Way,
Lakeville, MN 55044-4492

Ph: (952) 469-8507
Kenneth Joseph Kossack, RPH
18667 Irvine Way,
Lakeville, MN 55044-4492

Ph: (952) 469-8507

Reviews and Comments


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