Individual
DR. MARISA KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2623 OSAGE DR, DYER, IN 46311-2251
(773) 795-1806
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 795-1806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302380
IL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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