Individual
JAKE BRYAN KRUCHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 HERKIMER RD, UTICA, NY 13502-2314
(315) 792-6081
(315) 792-1829
Mailing address
208 HERKIMER RD, UTICA, NY 13502-2314
(315) 792-6081
(315) 792-1829
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
063931
NY
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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