Provider Demographics
NPI:1184390486
Name:KRIENER, SAVANA JULIET (PHARMD)
Entity type:Individual
Prefix:
First Name:SAVANA
Middle Name:JULIET
Last Name:KRIENER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SAVANA
Other - Middle Name:JULIET
Other - Last Name:NOVAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:235 8TH AVE W
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-1062
Mailing Address - Country:US
Mailing Address - Phone:563-547-6666
Mailing Address - Fax:563-547-6393
Practice Address - Street 1:235 8TH AVE W
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1062
Practice Address - Country:US
Practice Address - Phone:563-547-6666
Practice Address - Fax:563-547-6393
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN122674183500000X
IA22533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist