Crocker, Austin Vance

Crocker, Austin Vance is an individual health care provider with primary practice located at 145 E Van Dorn Ave , Holly Springs MS 38635-3096. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Crocker, Austin Vance can be contacted via phone (662) 252-2322.

Contact Information

Primary practice address
145 E Van Dorn Ave Holly Springs MS 38635-3096
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-14998 Mississippi

Profile Details

NPI number 1518457670
LBN Legal business name Crocker, Austin Vance
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2018
Last updated May 15th, 2018 - about 8 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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