Russell Krenek

NPI #1104155597 in Tyler, Texas

Provider Information

NPI Number: 1104155597
Entity Type: Individual
Name: Russell Krenek
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 14, 2009
Last Updated: Dec 14, 2009

Practice Location

Address: 5415 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75703-1397
Phone: (903) 939-9298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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