Krenek, Russell
Krenek, Russell is an sole proprietor health care provider with primary practice located at 5415 S Broadway Ave , Tyler TX 75703-1397. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Krenek, Russell can be contacted via phone (903) 939-9298.Contact Information
Primary practice address
5415 S Broadway Ave
Tyler TX 75703-1397
Phone: (903) 939-9298
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 37833 | Texas |
Profile Details
| NPI number | 1104155597 |
|---|---|
| LBN Legal business name | Krenek, Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2009 |
| Last updated | Dec 14th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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