Individual
LESLIE CLARK CRABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 IRON HORSE DR, PARK CITY, UT 84060-5126
(435) 649-9621
Mailing address
5804 SAGEBROOK DR, PARK CITY, UT 84098-6327
(435) 659-1471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11312
NC
183500000X
Pharmacist
Primary
5916523-1701
UT
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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