Crystal Huls, PHARMD
Individual provider Active NPI Pharmacist · Keokuk, IA
NPI 1285047654 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1285047654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21309 (IA)
- Practice address
- 1215 Main St
Keokuk, IA 52632-4343 - Phone
- (319) 524-0145
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21309 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21309 | IA | Yes |
Addresses
Primary practice location
1215 Main St
Keokuk, IA 52632-4343
Mailing address
1738 E County Road 850
Carthage, IL 62321-3938
Phone (217) 357-1181
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.