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Individual

ELAINE KAY CRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3377 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 399-3310
(304) 523-8115
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RP0006599
WV
183500000X
Pharmacist
0000013431
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810025874
WV
Enumeration date
03/28/2007
Last updated
09/16/2013
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