Most Relevant Information
Provider Data
| NPI Number: | 1003210964 |
| Provider Name: | CRYSTAL SHULL CHANDLER PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 17296 |
Most Important Dates
| Enumeration Date: | 10/21/2014 |
| Last Updated: | 10/21/2014 |
Provider Practice Location
1121 MORAY CT
CHARLOTTE
NC
282114300
Practice Location Phone/Fax
| Phone: | 7047375431 |
| Fax: |
Provider Mailing Location
1121 MORAY CT
CHARLOTTE
NC
282114300
Provider Mailing Phone/Fax
| Phone: | 7047375431 |
| Fax: |