Individual
DR. BRIAN THOMAS CRYDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9831 S WESTERN AVE, CHICAGO, IL 60643-1791
(773) 881-5632
Mailing address
14511 CENTRAL CT, UNIT PH4, OAK FOREST, IL 60452-1065
(708) 489-2761
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
03-2-25261
OH
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
IL
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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