Most Relevant Information
Provider Data
| NPI Number: | 1003410796 |
| Provider Name: | WILLIAM CLARK CROWDER DPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 6263 |
Most Important Dates
| Enumeration Date: | 11/24/2020 |
| Last Updated: | 11/24/2020 |
Provider Practice Location
246 E GAINES ST
LAWRENCEBURG
TN
384643343
Practice Location Phone/Fax
| Phone: | 9317620800 |
| Fax: | 9317624939 |
Provider Mailing Location
198 WALDEN RD
LAWRENCEBURG
TN
384643094
Provider Mailing Phone/Fax
| Phone: | 9316293693 |
| Fax: | 9317624939 |