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DR. JILL KRABAK PHARMD, L.AC
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1679774863
Individual Registrant:DR. JILL KRABAK PHARMD, L.AC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
410 1/2 REAR FRONT ST JESSUP, PA 18434 US
Tel: 215-435-1109 Fax: --
Tel: 215-435-1109 Fax: --
Contact information for business:
410 1/2 REAR FRONT ST JESSUP, PA 18434-1946 US
Tel: 215-435-1109 Fax: --
Tel: 215-435-1109 Fax: --
Registration Information:
NPI: 1679774863
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 183500000X | Pharmacy Service Providers Pharmacist | PA | RP045901L |
| N | 183500000X | Pharmacy Service Providers Pharmacist | NJ | 28R102820100 |
| Y | 171100000X | Other Service Providers Acupuncturist | PA | AK001230 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
