Provider Demographics
NPI:1326319864
Name:MESSER, CRAIG BRENDAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:BRENDAN
Last Name:MESSER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:897 SAXON BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8204
Mailing Address - Country:US
Mailing Address - Phone:386-775-5336
Mailing Address - Fax:
Practice Address - Street 1:897 SAXON BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8204
Practice Address - Country:US
Practice Address - Phone:386-775-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-14
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist