DR. Michael Joseph Crivellaro, PHARMD

NPI #1710260930 in Conyers, Georgia

Provider Information

NPI Number
1710260930
Entity Type
Individual
Name
DR. Michael Joseph Crivellaro, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Sep 23, 2011
Last Updated
Sep 23, 2011

Practice Location

Address
1510 MILSTEAD AVE NE
State
Georgia
ZIP Code
30012-8030
Phone
(770) 785-7128

Specialties & Taxonomy Codes

Specialty
Pharmacist

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