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Individual

MARK CRUMBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
580 W 5TH ST, RENO, NV 89503-4407
(775) 348-1306
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
(775) 348-1306

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17499
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500016
NV
01
2906848
NCPDP
NV
Enumeration date
08/07/2014
Last updated
08/07/2014
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