Individual
CLAY CREPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4080 W NORTHERN AVE, WALMART 1001 PHARMACY, PUEBLO, CO 81005
(719) 561-0951
Mailing address
4080 W NORTHERN AVE, WALMART 1001 PHARMACY, PUEBLO, CO 81005
(719) 561-0951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13890
CO
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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