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NPI Code Detail

MEDICARE: DANIEL ALEXANDER KRYZANEKAS II

MEDICARE: DANIEL ALEXANDER KRYZANEKAS II
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
1183500000XPharmacistPD16125AR

General Provider Information

NPI Number : 1669171922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ALEXANDER KRYZANEKAS II
Provider Business Mailing Address
First Line : 7010 CHAD COLLEY BLVD APT 1606
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-6417
Country : US
Telephone Number : 732-239-6998
Fax Number :
Provider Business Practice Location Address
First Line : 8300 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5235
Country : US
Telephone Number : 479-452-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 02/27/2023

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Directions to “ DANIEL ALEXANDER KRYZANEKAS II ” Practice Location

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