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NPI Code Detail

MEDICARE: MRS. JUDITH ANN KRONICK RPH

MEDICARE: MRS. JUDITH ANN KRONICK RPH
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
1183500000XPharmacistPH00011001WA

General Provider Information

NPI Number : 1437120607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH ANN KRONICK RPH
Provider Business Mailing Address
First Line : 611 31ST AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3723
Country : US
Telephone Number : 253-445-7162
Fax Number : 253-445-7163
Provider Business Practice Location Address
First Line : 611 31ST AVE SW
Second Line :
City : PUYALLUP
State : WA
Zip : 98373-3723
Country : US
Telephone Number : 253-445-7162
Fax Number : 253-445-7163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 07/12/2007

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Directions to “ MRS. JUDITH ANN KRONICK RPH” Practice Location

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