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Individual
MR. JAY E KROSNICK
Active
Individual
MR. JAY E KROSNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10544
MD
183500000X
Pharmacist
Primary
PH2202
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10544
PHARMACIST LICENSE
MD
01
—
PH2202
PHARMACIST LICENSE
DC
Enumeration date
03/25/2011
Last updated
03/25/2011
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