Individual
DR. KHALIL LYNN CROUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
401 MAIN ST, LAKE VILLAGE, AR 71653-1731
(870) 265-2220
(870) 265-3538
Mailing address
526 S LAKESHORE DR, 401 MAIN STREET, LAKE VILLAGE, AR 71653-1628
(870) 265-2821
(870) 265-3538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08476
AR
183500000X
Pharmacist
16270
LA
183500000X
Pharmacist
T-09400
MS
Other
Enumeration date
05/17/2006
Last updated
06/08/2023
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