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Individual

DENISE L CRANNAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
220 FOURNIE LN, SWANSEA, IL 62226-3038
(618) 234-4353

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044630
MO
183500000X
Pharmacist
051.039735
IL

Other

Enumeration date
04/22/2010
Last updated
04/22/2010
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