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Dr. Wilson Lee Krezdorn, PHARMD
Pharmacist in Tyler, Texas
NPI 1144557448

Wilson Lee Krezdorn is a Pharmacist based in Flint, TX. Wilson Lee Krezdorn practices in Tyler, TX and has the professional credentials of PHARMD. The NPI Number for Wilson Lee Krezdorn is 1144557448 and holds a License No. 45300 (Texas).

The current practice location address for Wilson Lee Krezdorn is 2130 W Grande Blvd, Tyler, TX and can be reached out via phone at 903-707-2034 and via fax at 903-707-2036.

Location: 2130 W Grande Blvd, Tyler, TX, 75762-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144557448
Provider Name
Wilson Lee Krezdorn
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2130 W Grande Blvd, Tyler, TX, 75762-5000
Phone Number
903-707-2034
Fax Number
903-707-2036
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2130 W Grande Blvd
City
Tyler
State
Texas
Zip
75703-0563
Phone Number
903-707-2034
Fax Number
903-707-2036
person
Provider Business Mailing Address Details
Address
2130 W Grande Blvd
City
Tyler
State
Texas
Zip
75703-0563
Phone Number
903-707-2034
Fax Number
903-707-2036
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
45300 (Texas)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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