Individual
MR. ROBERT L CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, CPP, CFTS
Contact information
Practice address
103 W STADIUM DR, EDEN, NC 27288-3329
(336) 627-4854
(336) 627-8925
Mailing address
103 W STADIUM DR, EDEN, NC 27288-3329
(336) 627-4854
(336) 627-8925
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
6549
NC
225000000X
Orthotic Fitter
Primary
7795378
NC
Other
Enumeration date
04/16/2008
Last updated
06/04/2008
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