Dornbach-Poojari, Crystal Le-Ann

Dornbach-Poojari, Crystal Le-Ann is an sole proprietor health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dornbach-Poojari, Crystal Le-Ann can be contacted via phone (573) 596-0514.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2010028707 Missouri

Profile Details

NPI number 1639495419
LBN Legal business name Dornbach-Poojari, Crystal Le-Ann
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2010
Last updated Dec 21st, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639495419 NPPES
Other NONE NONE

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