NPI 1639760622

Krystal Pruden

Practitioner Pharmacy Technician Springfield, MA

Practice location

Address: 380 Plainfield St, Springfield, MA 01107-1524
Phone: (413) 794-4771
Mailing address: 27 Bess Rd, Enfield, CT 06082-6012

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PTN.0004847 (CT)

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Registry record

NPI: 1639760622
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2021
Record last updated: 1 Feb 2021

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.