Individual
COLLIN JAMES KRUCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1940 WEST BLVD, CHARLOTTE, NC 28208
(980) 402-1660
Mailing address
1940 WEST BLVD, CHARLOTTE, NC 28208
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
33223
NC
Other
Enumeration date
08/19/2025
Last updated
11/18/2025
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