Individual
CRYSTAL MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 S COLLEGE RD, WILMINGTON, NC 28412-2004
(910) 793-5740
(910) 793-6153
Mailing address
246 WINDCHIME DR, WILMINGTON, NC 28412-7329
(412) 352-6430
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0656208
—
NC
Enumeration date
11/25/2009
Last updated
11/25/2009
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