Individual
DONALD WAYNE CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3300 AIRLINE DR, BOSSIER CITY, LA 71111-2124
(318) 742-3300
Mailing address
4741 THORNHILL AVE, SHREVEPORT, LA 71106-1523
(318) 207-7295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10199
LA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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