Crismon, Andrea

Crismon, Andrea is an individual health care provider with primary practice located at 2002 Kanell Blvd Ste 102 , Poplar Bluff MO 63901-4011. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Crismon, Andrea can be contacted via phone (573) 778-1608.

Contact Information

Primary practice address
2002 Kanell Blvd Ste 102 Poplar Bluff MO 63901-4011
Phone: (573) 778-1608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2005040268 Missouri

Profile Details

NPI number 1124294269
LBN Legal business name Crismon, Andrea
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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