Search › Illinois › 183500000X
Seth Crocker, RPH
NPI 1497035745 · on the registry since 2011
Practice
- Address
- 18195 Eula Mae Pkwy
Carlyle, IL 62231 - Phone
- (618) 594-8385
- Fax
- (618) 594-8601
- Organisation at this address
- Tjd Enterprises, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-18
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 Illinois