Individual
MR. GLENN KRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2205 BUCKNER DR, MANHATTAN, KS 66503-2159
(785) 410-2664
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12225
CO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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