Provider Demographics
NPI:1598940306
Name:KRON, JAMES ELDRED SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ELDRED
Last Name:KRON
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 N 48TH ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62305-0577
Mailing Address - Country:US
Mailing Address - Phone:217-224-4209
Mailing Address - Fax:
Practice Address - Street 1:4027 N 48TH ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62305-0577
Practice Address - Country:US
Practice Address - Phone:217-224-4209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA13757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist