IndividualActive
Paul Krystkowiak, PHARMD
NPI 1710770185 · Pharmacist · La Pine, OR
Provider details
- NPI number
- 1710770185
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH-0020505 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
51670 Huntington Rd
La Pine, OR 97739-9626
Phone: (541) 536-5052
Approximate (ZIP-level) locationGet directions
Mailing address
210 Sw Century Dr Apt 601
Bend, OR 97702-3837
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.