Individual
T ELAINE FAIR CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 HUSKY TRL, WARSAW, IN 46582-1952
(574) 371-9080
(574) 371-9081
Mailing address
22345 SOMMERSET PLACE BLVD, GOSHEN, IN 46528-8317
(574) 903-5433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015493A
IN
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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