Individual provider · Type 1 NPI

Stefanie Jo Kruger, BS

Pharmacist · Fort Wayne, IN

NPI number 1083997654 Active

Practice location

10412 Coldwater Rd
Fort Wayne, IN 46845-1233

Fax (260) 637-2728

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26021632A (IN)
Pharmacist 183500000X03223484 (OH)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1083997654

Stefanie Jo Kruger, BS's National Provider Identifier is 1083997654, issued on Sep 21, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 21, 2011.