Individual
CRYSTAL WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1580 E MAIN ST, CORTEZ, CO 81321-2934
(970) 564-1353
Mailing address
1580 E MAIN ST, CORTEZ, CO 81321-2934
(970) 564-1353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11129
KS
183500000X
Pharmacist
Primary
16196
CO
183500000X
Pharmacist
9867503-1701
UT
183500000X
Pharmacist
9867503-8911
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277115
NABP
—
Enumeration date
05/10/2017
Last updated
05/10/2017
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