Individual
MR. CRAIG C VAN TASSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
40 N MAIN ST, KAMAS, UT 84036-9540
(435) 783-4466
Mailing address
40 N MAIN ST, P.O. BOX 67, KAMAS, UT 84036-9540
(435) 783-4466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1222631703
UT
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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