Provider / Organization | NPI | Date Certified |
---|---|---|
SEAN KRISTOPHER KREYMBORG | 1033713987 | 2020-11-22 |
Sean Kristopher Kreymborg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033713987. Registration indicates Sean Kristopher Kreymborg is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Dr. Sean Kristopher Kreymborg PHARMD |
Practice Office Address | 2703 N PONCE DE LEON BLVD SAINT AUGUSTINE, FL US |
Practice Office Telephone | 9048242838 |
Mailing Address | 15 LLOVERA PL PALM COAST, FL 321645868 US |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | PS55080
FL |
PS55080 | OTHER | FL | STATE LICENSE |