Most Relevant Information
Provider Data
| NPI Number: | 1003321001 |
| Provider Name: | KRYSTAL NOVAK |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 12475 |
Most Important Dates
| Enumeration Date: | 12/12/2017 |
| Last Updated: | 12/12/2017 |
Provider Practice Location
3620 N 6TH ST
BEATRICE
NE
683101141
Practice Location Phone/Fax
| Phone: | 4022284594 |
| Fax: |
Provider Mailing Location
3620 N 6TH ST
BEATRICE
NE
683101141
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |