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Mike Crunk
NPI 1154921443 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3001 Oak Grove Rd
Poplar Bluff, MO 63901 - Phone
- (573) 772-7169
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri