Individual
DR. KENTON LANCE CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8785 W WARM SPRINGS RD, SUITE 109, LAS VEGAS, NV 89148-1823
(702) 731-1200
Mailing address
40970 ALTON CT, TEMECULA, CA 92591-6948
(626) 646-3227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15858
NV
183500000X
Pharmacist
38214
CA
1835N1003X
Nutrition Support Pharmacist
15858
NV
1835N1003X
Nutrition Support Pharmacist
38214
CA
1835P1200X
Pharmacotherapy Pharmacist
15858
NV
1835P1200X
Pharmacotherapy Pharmacist
38214
CA
Other
Enumeration date
05/03/2008
Last updated
10/22/2009
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