Provider Demographics
NPI:1437434073
Name:KRAAI, JORDAIN G (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:JORDAIN
Middle Name:G
Last Name:KRAAI
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 1:3285 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4019
Mailing Address - Country:US
Mailing Address - Phone:231-739-4710
Mailing Address - Fax:
Practice Address - Street 1:3285 HENRY ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-4019
Practice Address - Country:US
Practice Address - Phone:231-739-4710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302037041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist