Willis, Crystal Danielle

Willis, Crystal Danielle is an individual health care provider with primary practice located at 2102 W Baker St , Plant City FL 33563-1643. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Willis, Crystal Danielle can be contacted via phone (813) 759-8733.

Contact Information

Primary practice address
2102 W Baker St Plant City FL 33563-1643
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS46299 Florida

Profile Details

NPI number 1013289800
LBN Legal business name Willis, Crystal Danielle
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2012
Last updated Feb 8th, 2012 - about 13 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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