Individual
MR. JAY E KROSNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1601 16TH ST NW, WASHINGTON, DC 20009-3035
(202) 588-0186
Mailing address
1118 CRESTHAVEN DR, SILVER SPRING, MD 20903-1606
(301) 704-4978
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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