Provider Demographics
NPI:1609864362
Name:CRUMB, DEBORAH JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JEAN
Last Name:CRUMB
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 SAN PABLO RD S
Mailing Address - Street 2:E-MAIL: CRUMB.DEBORAH@MAYO.EDU
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1865
Mailing Address - Country:US
Mailing Address - Phone:904-956-1719
Mailing Address - Fax:904-953-1724
Practice Address - Street 1:4500 SAN PABLO RD S
Practice Address - Street 2:E-MAIL: CRUMB.DEBORAH@MAYO.EDU
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1865
Practice Address - Country:US
Practice Address - Phone:904-956-1719
Practice Address - Fax:904-953-1724
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20261183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist