Individual
MR. KENNETH EARL CRAWFORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1107 JEFFERSON ST, LAUREL, MS 39440-4352
(601) 425-2527
(601) 425-2528
Mailing address
1107 JEFFERSON ST, LAUREL, MS 39440-4352
(601) 425-2527
(601) 425-2528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08765
MS
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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