NPI 1013697440

Jessie Joann Kruse, PHARMD

Practitioner Pharmacist Bentonville, AR

Practice location

Address: 1204 SE 28th St STE 2, Bentonville, AR 72712-3887
Phone: (888) 414-5805
Fax: (855) 422-2400
Mailing address: PO Box 359, Bentonville, AR 72712-0359

Registered specialties (3)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PD14624 (AR)

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Registry record

NPI: 1013697440
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2023
Record last updated: 20 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.