Individual
CRYSTAL CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Mailing address
4441 OLD COLLEGE RD APT 8106, BRYAN, TX 77801-3534
(361) 720-0031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1461174
ID
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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