Provider Demographics
NPI:1922655927
Name:KRENZEL, JAVYN CLARE (PHARM D; RPH)
Entity Type:Individual
Prefix:
First Name:JAVYN
Middle Name:CLARE
Last Name:KRENZEL
Suffix:
Gender:M
Credentials:PHARM D; RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NW 25TH
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66618
Mailing Address - Country:US
Mailing Address - Phone:785-357-2664
Mailing Address - Fax:785-357-2668
Practice Address - Street 1:800 NW 25TH
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66618
Practice Address - Country:US
Practice Address - Phone:785-357-2664
Practice Address - Fax:785-357-2668
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-109418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist