Mike Crunk

Pharmacist · Poplar Bluff, MO

Individual Active NPI

NPI number 1154921443

Practice location

3001 Oak Grove Rd
Poplar Bluff, MO 63901-8942
Phone
(573) 772-7169

Open in Google Maps

NPI record

NPI
1154921443
Entity type
Individual (Type 1)
Enumeration date
October 27, 2020
Last updated
October 27, 2020
Certified
October 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2011026566 MO

About Mike Crunk

Mike Crunk is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3001 Oak Grove Rd, Poplar Bluff, MO 63901-8942. The NPI number 1154921443 was assigned on October 27, 2020 and the record was last updated on October 27, 2020.

Mike Crunk lists a license in the registry: #2011026566 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mike Crunk?

The NPI number is 1154921443.

What is the phone number of Mike Crunk?

The phone number listed for the practice location is (573) 772-7169.

Where is Mike Crunk located?

3001 Oak Grove Rd, Poplar Bluff, MO 63901-8942.

What is the taxonomy code for Mike Crunk?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Poplar Bluff

All Pharmacist providers in Poplar Bluff, MO →