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NPI Code Detail

MEDICARE: JOSHUA TYLER KRUEGER PHARM.D.

MEDICARE:   JOSHUA TYLER KRUEGER  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
1183500000XPharmacist1-100294KS

General Provider Information

NPI Number : 1023612280
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA TYLER KRUEGER PHARM.D.
Provider Business Mailing Address
First Line : 8200 MISSION RD
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-5211
Country : US
Telephone Number : 913-381-3300
Fax Number :
Provider Business Practice Location Address
First Line : 8200 MISSION RD
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-5211
Country : US
Telephone Number : 913-381-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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Directions to “ JOSHUA TYLER KRUEGER PHARM.D.” Practice Location

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