Individual
CRYSTAL NICHOLE LAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10100 STAGECOACH RD, LITTLE ROCK, AR 72210-5742
(501) 455-2522
Mailing address
10100 STAGECOACH RD, LITTLE ROCK, AR 72210-5742
(501) 455-2522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15768
AR
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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