Provider Demographics
NPI:1003186214
Name:KRUMNOW, FRANCES JUANITA
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:JUANITA
Last Name:KRUMNOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1200
Mailing Address - Country:US
Mailing Address - Phone:334-793-2362
Mailing Address - Fax:
Practice Address - Street 1:2140 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3031
Practice Address - Country:US
Practice Address - Phone:334-712-6638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist