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Individual
MR. BARRY DAYTON CRIDDLE
Active
Individual
MR. BARRY DAYTON CRIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-07893
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800278784
MS DRIVERS LICENSE
MS
01
—
E-07893
MS BOARD OF PHARMACY LICENSE
MS
Enumeration date
08/24/2017
Last updated
06/20/2018
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