Provider Demographics
NPI:1376192617
Name:KRAJEWSKI, CAROLINE MICHELE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MICHELE
Last Name:KRAJEWSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4333 CANDLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PONCE INLET
Mailing Address - State:FL
Mailing Address - Zip Code:32127-6907
Mailing Address - Country:US
Mailing Address - Phone:386-290-4277
Mailing Address - Fax:
Practice Address - Street 1:3821 S NOVA RD
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4950
Practice Address - Country:US
Practice Address - Phone:386-756-4170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty