Provider Demographics
NPI:1528276789
Name:KRAKOWSKI, EUGENE (RPH)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:
Last Name:KRAKOWSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 BRIGHAM ST
Mailing Address - Street 2:SUITE # 2-F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-6140
Mailing Address - Country:US
Mailing Address - Phone:718-648-1588
Mailing Address - Fax:
Practice Address - Street 1:2212 BRIGHAM ST
Practice Address - Street 2:APT # 2F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-6140
Practice Address - Country:US
Practice Address - Phone:718-648-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist