IndividualActive
Jacklyn Kruse, PHARMD
NPI 1235863291 · Ambulatory Care Pharmacist · Kokomo, IN
Provider details
- NPI number
- 1235863291
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- S025877 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
3508 S Lafountain St
Kokomo, IN 46902-3803
Phone: (765) 776-8051
Approximate (ZIP-level) locationGet directions
Mailing address
3508 S Lafountain St
Kokomo, IN 46902-3803
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2024-04-20
- Certified
- 2024-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.