Provider Demographics
NPI:1831415686
Name:KROMER, BRENDA L (RPH)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:L
Last Name:KROMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 OAKLAND AVE
Mailing Address - Street 2:STE. 6
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3348
Mailing Address - Country:US
Mailing Address - Phone:724-349-3415
Mailing Address - Fax:724-349-3563
Practice Address - Street 1:2334 OAKLAND AVE
Practice Address - Street 2:STE. 6
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3348
Practice Address - Country:US
Practice Address - Phone:724-349-3415
Practice Address - Fax:724-349-3563
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042665L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist