Individual
MR. DANIEL CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3721 W TRUMAN BLVD, JEFFERSON CTY, MO 65109-0536
(573) 634-2628
(573) 635-1768
Mailing address
3721 W TRUMAN BLVD, JEFFERSON CTY, MO 65109-0536
(573) 634-2628
(573) 635-1768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041723
MO
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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