Individual
MR. STEVEN CLARENCE CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3740 MARKET ST, SALEM, OR 97301
(503) 580-6530
(503) 945-0844
Mailing address
3116 METOLIUS DR, EUGENE, OR 97408
(503) 580-6530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 000136
WA
183500000X
Pharmacist
Primary
RPH-001475
OR
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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