Provider Demographics
NPI:1467768200
Name:KRUGLY, YANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YANA
Middle Name:
Last Name:KRUGLY
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 1:527 AVENUE X
Mailing Address - Street 2:APT# 5E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6147
Mailing Address - Country:US
Mailing Address - Phone:718-795-5794
Mailing Address - Fax:
Practice Address - Street 1:527 AVENUE X
Practice Address - Street 2:APT #5E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6147
Practice Address - Country:US
Practice Address - Phone:718-795-5794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20-055058183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist