Individual
RANDY LEE CRISPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
3051 WALDORF MARKET PL, WALDORF, MD 20603-4871
(301) 632-5684
(301) 632-5688
Mailing address
3051 WALDORF MARKET PL, WALDORF, MD 20603-4871
(301) 632-5684
(301) 632-5688
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09099
MD
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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