Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE KALKREUTH
Active Sole ProprietorTHEODORE KALKREUTH is a Pharmacist healthcare provider located in TIETON, Washington. NPI 1063866143 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · TIETON, WA
Registration Details
- NPI Number
- 1063866143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2016 (10.319605981531 yrs)
- Last Updated
- Apr 14, 2016
- License
-
PH00066850 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1080 ROSENKRANZ RDTIETON, WA, 989479723Browse WA providers · Browse ZIP 98947
- Phone
- 3039417257
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.