Mitchell, Crystal Ann

Mitchell, Crystal Ann is an individual health care provider with primary practice located at 11619 Island Ave , La Grande OR 97850-8459. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Mitchell, Crystal Ann can be contacted via phone (541) 963-5460.

Contact Information

Primary practice address
11619 Island Ave La Grande OR 97850-8459
Phone: (541) 963-5460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH61192040 Washington
Pharmacy Service Providers / Pharmacist 183500000X P9693 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0000000 Oregon
Pharmacy Service Providers / Pharmacist 183500000X RPH-0018553 Oregon

Profile Details

NPI number 1396319414
LBN Legal business name Mitchell, Crystal Ann
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2021
Last updated Oct 27th, 2022 - about 4 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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