Theodore Kalkreuth, is a
Pharmacist based in Tieton, Washington. Theodore Kalkreuth is licensed to practice in Washington (license number PH00066850) and his current practice location is
1080 Rosenkranz Rd, Tieton, Washington. He can be reached at his office (for appointments etc.) via phone at
(303) 941-7257.
NPI number for Theodore Kalkreuth is 1063866143 and his current mailing address is 1080 Rosenkranz Rd, Tieton, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063866143.
Healthcare Provider's Profile
| Full Name | Theodore Kalkreuth |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 1080 Rosenkranz Rd, Tieton, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063866143
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 04/14/2016
Medical Identifiers
Medical identifiers for Theodore Kalkreuth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063866143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PH00066850 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Kalkreuth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Theodore Kalkreuth,
1080 Rosenkranz Rd,
Tieton, WA 98947-9723
Ph: () - | Theodore Kalkreuth,
1080 Rosenkranz Rd,
Tieton, WA 98947-9723
Ph: (303) 941-7257 |
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