Individual
MR. GARY CRICKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3725 RIVERS AVE, N CHARLESTON, SC 29405-7038
(843) 745-4124
Mailing address
3725 RIVERS AVE, N CHARLESTON, SC 29405-7038
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007463
SC
Other
Enumeration date
03/22/2008
Last updated
03/22/2008
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