Individual
JEROME KRUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
741 WHITE OAK DR, NEWNAN, GA 30265-2056
(847) 577-6784
Mailing address
741 WHITE OAK DR, NEWNAN, GA 30265-2056
(847) 577-6784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-031046I
IL
Other
Enumeration date
03/27/2008
Last updated
05/20/2016
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