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NPI Code Detail

MEDICARE: JENNIFER KRAUSE PHARMD, RPH

MEDICARE: JENNIFER KRAUSE PHARMD, 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
1183500000XPharmacist20686IA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist20686IA

General Provider Information

NPI Number : 1891975769
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KRAUSE PHARMD, RPH
Provider Business Mailing Address
First Line : 3341 MEADOW TRL E
Second Line :
City : DEKALB
State : IL
Zip : 60115-5325
Country : US
Telephone Number : 815-757-1500
Fax Number :
Provider Business Practice Location Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number : 815-387-5316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 03/22/2023

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