Jacob Krohn

NPI 1093132565 · on the registry since 2014 · sole proprietor

Practice

Address: 1755 N Humiston Ave
Worthington, MN 56187
Phone: (507) 376-9309
Fax: (507) 372-7840
Organisation at this address: Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota