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NPI Code Detail

MEDICARE: MRS. SHELLEY BURAN CRAFT RPH

MEDICARE:  MRS. SHELLEY BURAN CRAFT  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202006362VA

General Provider Information

NPI Number : 1700229820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELLEY BURAN CRAFT RPH
Provider Business Mailing Address
First Line : 3507 W CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2728
Country : US
Telephone Number : 804-254-6400
Fax Number :
Provider Business Practice Location Address
First Line : 3507 W CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23221-2728
Country : US
Telephone Number : 804-254-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2013
Last Update Date : 04/08/2013

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Directions to “ MRS. SHELLEY BURAN CRAFT RPH” Practice Location

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