Individual
DR. AUSTIN VANCE CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
145 E VAN DORN AVE, HOLLY SPRINGS, MS 38635-3096
(662) 252-2322
Mailing address
145 E VAN DORN AVE, HOLLY SPRINGS, MS 38635-3025
(662) 252-2322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14998
MS
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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