Individual
KEVIN KRUPCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1277 LIBERTY ST, SPRINGFIELD, MA 01104-1165
(413) 732-7040
Mailing address
194 BEEKMAN DR, AGAWAM, MA 01001-2605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239741
MA
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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