MEDICARE: ROBERT KRALJEVIC PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PCT.10002	CT

General Provider Information

NPI Number	:	1881675072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT KRALJEVIC PHARM.D

Provider Business Mailing Address
First Line	:	21 BROAD ST
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06901-2309
Country	:	US
Telephone Number	:	203-388-0038
Fax Number	:	203-388-0038

Provider Business Practice Location Address
First Line	:	21 BROAD ST
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06901-2309
Country	:	US
Telephone Number	:	203-388-0038
Fax Number	:	203-388-0038

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	06/08/2011

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