MEDICARE: DR. CLARE CROSLAND PHARMD

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
1	183500000X	Pharmacist	0202218158	VA
2	183500000X	Pharmacist	28938	NC

General Provider Information

NPI Number	:	1952904062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARE CROSLAND PHARMD

Provider Business Mailing Address
First Line	:	9001 STAPLES MILL RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9001 STAPLES MILL RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2022
Country	:	US
Telephone Number	:	804-672-5350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	11/19/2020

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Directions to “ DR. CLARE CROSLAND PHARMD” Practice Location

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