Ryan Crouse

NPI #1144823873 in Mount Vernon, Illinois

Provider Information

NPI Number: 1144823873
Entity Type: Individual
Name: Ryan Crouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 2700 BROADWAY ST
City: Mount Vernon
State: Illinois
ZIP Code: 62864-2342
Phone: (618) 242-2074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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