Krull, Matthew
Krull, Matthew is an sole proprietor health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Krull, Matthew can be contacted via phone (573) 596-0514.Contact Information
Primary practice address
4430 Missouri Ave
Fort Leonard Wood MO 65473-9098
Phone: (573) 596-0514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10580 | Arkansas |
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10580 | Arkansas |
Profile Details
| NPI number | 1790094415 |
|---|---|
| LBN Legal business name | Krull, Matthew |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2010 |
| Last updated | Oct 2nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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