Crumby, Mark

Crumby, Mark is an sole proprietor health care provider with primary practice located at 580 W 5Th St , Reno NV 89503-4407. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Crumby, Mark can be contacted via phone (775) 348-1306.

Contact Information

Primary practice address
580 W 5Th St Reno NV 89503-4407
Fax:
Website:

Health care specialties

Profile Details

NPI number 1366851917
LBN Legal business name Crumby, Mark
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366851917 NPPES
Nevada MEDICAID 100500016
Nevada Other 2906848

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