Teresa Kruse
Pharmacist in Dallas, TX. Individual provider (NPI-1).
NPI number1497350656
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1497350656
- Entity type
- Individual (NPI-1)
- Name
- Teresa Kruse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2020
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 35416 | TX | Yes |
Practice location
4062 Lyndon B Johnson FwyDallas, TX 75244-5701
Phone 972-759-6495
Mailing address
1417 Terralago PlOviedo, FL 32765-3714
Phone 214-629-3548
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