Individual
PAUL KRYSTKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
51670 HUNTINGTON RD, LA PINE, OR 97739-9626
(541) 536-5052
Mailing address
210 SW CENTURY DR APT 601, BEND, OR 97702-3837
(661) 917-1850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0020505
OR
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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