Provider Demographics
NPI:1518378447
Name:KRUMENACKER, GAIL (PHARMD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:KRUMENACKER
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 1:367 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3600
Mailing Address - Country:US
Mailing Address - Phone:530-666-1445
Mailing Address - Fax:530-666-7053
Practice Address - Street 1:367 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3600
Practice Address - Country:US
Practice Address - Phone:530-666-1445
Practice Address - Fax:530-666-7053
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist