Most Relevant Information
Provider Data
| NPI Number: | 1003572793 |
| Provider Name: | CRYSTAL MARLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P1200X |
| Specialty: | Pharmacist |
| License Number: | 57762 |
Most Important Dates
| Enumeration Date: | 11/17/2021 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
8026 FLOYD CURL DR
SAN ANTONIO
TX
782293915
Practice Location Phone/Fax
| Phone: | 2105758182 |
| Fax: |
Provider Mailing Location
8706 SHADY MTN
SAN ANTONIO
TX
782546335
Provider Mailing Phone/Fax
| Phone: | 2103554190 |
| Fax: |