Individual
DEEATRA SEABORN CRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 LILLIAN MILLER PKWY, DENTON, TX 76210-2902
(940) 382-1618
Mailing address
3869 HARRISON DR, CARROLLTON, TX 75010-6328
(214) 731-0777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40081
TX
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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