Provider Demographics
NPI:1346817459
Name:KRIM, KENAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KENAN
Middle Name:
Last Name:KRIM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3114 DARIEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6706
Mailing Address - Country:US
Mailing Address - Phone:919-931-2025
Mailing Address - Fax:
Practice Address - Street 1:7496 ROCKFISH RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-8076
Practice Address - Country:US
Practice Address - Phone:910-424-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist