Individual
EMILY ROSE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2490 PARR AVE STE 9, DYERSBURG, TN 38024-2030
(731) 285-0844
Mailing address
2490 PARR AVE STE 9, DYERSBURG, TN 38024-2030
(731) 285-0844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39407
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092870545
DRIVER'S LICENSE NUMBER
TN
Enumeration date
05/02/2019
Last updated
05/02/2019
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