Provider Demographics
NPI:1326641275
Name:KRAUSS, ROBERT W
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:KRAUSS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W ROUTE 313
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-3269
Mailing Address - Country:US
Mailing Address - Phone:215-249-4750
Mailing Address - Fax:
Practice Address - Street 1:402 W ROUTE 313
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-3269
Practice Address - Country:US
Practice Address - Phone:215-249-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044809L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist