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Individual

MR. SAMUEL KRANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
8001 LINCOLN AVE, SKOKIE, IL 60077-3695
(847) 588-7480
Mailing address
59 CARLI BLVD, COLCHESTER, CT 06415-1876
(860) 949-2411

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5954
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5954
LICENSE
CT
Enumeration date
07/09/2012
Last updated
07/09/2012
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