Individual provider · Type 1 NPI

Russell Krenek

Pharmacist · Tyler, TX

NPI number 1104155597 Active

Practice location

5415 S Broadway Ave
Tyler, TX 75703-1397

Call (903) 939-9298 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X37833 (TX)

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 1104155597

Russell Krenek's National Provider Identifier is 1104155597, issued on Dec 14, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyler, TX. The record was last updated on Dec 14, 2009.