Individual
ELIZABETH MARY CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
25 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-6565
(928) 453-2808
Mailing address
1830 NUGGET DR, LAKE HAVASU CITY, AZ 86404-1826
(928) 208-3300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03114999
OH
183500000X
Pharmacist
16605
NV
183500000X
Pharmacist
Primary
S013986
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553
ARIZONA IMMUNIZATION PHARMACIST
AZ
Enumeration date
07/17/2007
Last updated
08/26/2010
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