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Individual
AUSTIN WAYNE CRISSMAN
Active
Individual
AUSTIN WAYNE CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, MBA, BCPS
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
18919
OK
1835P1200X
Pharmacotherapy Pharmacist
18919
OK
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
OK
3336C0004X
Compounding Pharmacy
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
07/23/2026
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