Individual
DR. DECEMBER T CREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
12037 E BONITA CT, WICHITA, KS 67207-6695
(216) 338-0067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-123450
KS
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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