Individual
BENJAMIN PAUL CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-7440
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-7440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21006
NC
Other
Enumeration date
10/25/2007
Last updated
05/02/2018
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