IndividualActive
Collin Kruczek, PHARMD
NPI 1659258945 · Ambulatory Care Pharmacist · Charlotte, NC
Provider details
- NPI number
- 1659258945
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 33223 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1940 West Blvd
Charlotte, NC 28208
Phone: (980) 402-1660
Approximate (ZIP-level) locationGet directions
Mailing address
1940 West Blvd
Charlotte, NC 28208
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.