T Elaine Fair Crump

NPI #1003403460 in Warsaw, Indiana

Provider Information

NPI Number
1003403460
Entity Type
Individual
Name
T Elaine Fair Crump
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Dec 30, 2020
Last Updated
Dec 30, 2020

Practice Location

Address
1150 HUSKY TRL
City
Warsaw
State
Indiana
ZIP Code
46582-1952
Phone
(574) 371-9080

Specialties & Taxonomy Codes

Specialty
Pharmacist

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