Susan Nickerson Crider, RPH Valid NPI
Individual provider · Pharmacist · Shreveport, LA
- NPI
- 1376554543
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 20297 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-11
- Last updated
- 2007-07-08
Practice location
510 E Stoner Ave
Shreveport, LA 71101-4243
(318) 221-8411