Provider Demographics
NPI:1811940984
Name:KRZEMEN, SCOTT CHRISTOPHER (PHARM D)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CHRISTOPHER
Last Name:KRZEMEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:LACOTA
Mailing Address - State:MI
Mailing Address - Zip Code:49063-0094
Mailing Address - Country:US
Mailing Address - Phone:269-253-4546
Mailing Address - Fax:
Practice Address - Street 1:555 LINN ST
Practice Address - Street 2:
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-1524
Practice Address - Country:US
Practice Address - Phone:269-686-4120
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist