Individual
DANIEL JUSTIN CRIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
460 W BOCKMAN WAY, SPARTA, TN 38583-1833
(931) 836-1500
Mailing address
460 W BOCKMAN WAY, SPARTA, TN 38583-1833
(931) 836-1500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36669
TN
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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