Individual
MR. JOHN CHARLES KLUCZNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1305 1ST AVE SW, AUSTIN, MN 55912-1601
(507) 433-4586
(507) 433-7003
Mailing address
1007 16TH ST SW, AUSTIN, MN 55912-1717
(507) 437-1479
(507) 433-7003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
112349-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112349-4
MN PHARMACIST LICENSE #
MN
Enumeration date
03/05/2007
Last updated
07/08/2007
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