Individual
MRS. CRYSTAL NICOLE COOPER EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
601 E 12TH ST, WASHINGTON, NC 27889-3408
(252) 946-4113
(252) 946-9552
Mailing address
601 E 12TH ST, WASHINGTON, NC 27889-3408
(252) 946-4113
(252) 946-9552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22098
NC BOARD OF PHARMACY LICENSE NUMBER
NC
Enumeration date
12/03/2015
Last updated
12/03/2015
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