Individual
DAVID EDWARD CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
450 WHITE SPAR RD, PRESCOTT, AZ 86303-4626
(928) 778-3086
Mailing address
6810 E SPOUSE DR APT 173, PRESCOTT VALLEY, AZ 86314-6644
(928) 515-3039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302025361
MI
183500000X
Pharmacist
Primary
S013994
AZ
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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