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Individual

KIRBY DONALD CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
602 W UNIVERSITY AVE, URBANA, IL 61801-2530
(217) 383-3250
(217) 383-3524
Mailing address
1306 ALPINE DR, CHAMPAIGN, IL 61822-1834
(217) 352-1866

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
IL

Other

Enumeration date
12/19/2006
Last updated
07/08/2007
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