Individual
MARY CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
150 N 11TH ST, WYTHEVILLE, VA 24382-2029
(276) 228-0637
(276) 227-0203
Mailing address
150 N 11TH ST, WYTHEVILLE, VA 24382-2029
(276) 228-0637
(276) 227-0203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213040
VA
183500000X
Pharmacist
RP0008864
WV
Other
Enumeration date
07/16/2014
Last updated
06/16/2020
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