Krystal Soo is a Pharmacist in Jonesboro, Arkansas. Krystal Soo practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Krystal Soo is 1366596124. The last update date is 2020-01-06.
Krystal Soo's current location address is 2282 E Nettleton Avenue, Jonesboro, Arkansas. You can contact this provider via phone number 8709326930 and fax number 8709321378. The mailing address for Krystal Soo is 2282 E Nettleton Avenue, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krystal Soo |
|---|---|
| Address | 2282 E Nettleton Avenue, Jonesboro, Arkansas |
| Phone Number | 8709326930 |
| Fax Number | 8709321378 |
| Sole Proprietor | N |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1366596124 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-01-06 |
Provider Mailing Address Detail
| Address | 2282 E Nettleton Avenue |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724014534 |
| Phone Number | 8709326930 |
| Fax Number | 8709321378 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PD07250 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the Krystal Soo's 1366596124?
The Krystal Soo's NPI (National Provider Identifier) Number is 1366596124. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Krystal Soo's physical address?
The Krystal Soo is physically located at 2282 E Nettleton Avenue, in the city of Jonesboro, AR, with the postal code 724014534.
What is Krystal Soo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Krystal Soo is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date was the 1366596124 assigned to Krystal Soo?
The Krystal Soo was issued its 1366596124 on 2007-01-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Krystal Soo's information last updated?
The Krystal Soo's information was last updated on 2020-01-06.