Provider / Organization | NPI | Date Certified |
---|---|---|
CRYSTAL NICHOLE LAVEY | 1225789795 | 2022-01-15 |
Crystal Nichole Lavey is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225789795. Registration indicates Crystal Nichole Lavey is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Crystal Nichole Lavey PHARMD |
Practice Office Address | 10100 STAGECOACH RD LITTLE ROCK, AR US |
Practice Office Telephone | 5014552522 |
Mailing Address | 10100 STAGECOACH RD LITTLE ROCK, AR 722105742 US |
Business Telephone | 5014552522 |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | PD15768
AR |