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Individual

MR. MICHAEL CLYDE CRADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST 12

Contact information

Practice address
HC 34 BOX 310, NEW CASTLE, VA 24127-9313
(540) 864-7063
Mailing address
HC 34 BOX 310, NEW CASTLE, VA 24127-9313
(540) 864-7063

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4879
VA

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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