MEDICARE: DR. HENRY WILLIAM KRELL JR. PHARMD

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	5302038131	MI
2	183500000X	Pharmacist	03440486	OH

General Provider Information

NPI Number	:	1598038499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY WILLIAM KRELL JR. PHARMD

Provider Business Mailing Address
First Line	:	1824 NORTHOVER RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-2954
Country	:	US
Telephone Number	:	419-309-2285
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 NORTHOVER RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43613-2954
Country	:	US
Telephone Number	:	419-309-2285
Fax Number	:

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

Provider Enumeration Date	:	02/23/2012
Last Update Date	:	06/20/2025

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