Individual
HALEY CRUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(620) 223-8040
Mailing address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(620) 223-8040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-106601
KS
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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