Provider Demographics
NPI:1154022879
Name:KRATZER PHARMACY INC.
Entity type:Organization
Organization Name:KRATZER PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-444-0135
Mailing Address - Street 1:155 N POINT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-8366
Mailing Address - Country:US
Mailing Address - Phone:937-444-0135
Mailing Address - Fax:937-444-0138
Practice Address - Street 1:155 N POINT DR
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-8366
Practice Address - Country:US
Practice Address - Phone:937-444-0135
Practice Address - Fax:937-444-0138
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KRATZER PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy