Provider Demographics
NPI:1689654329
Name:CRAYNOR, WILLIAM DELL (R PH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DELL
Last Name:CRAYNOR
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-1180
Mailing Address - Country:US
Mailing Address - Phone:801-595-4375
Mailing Address - Fax:801-595-2075
Practice Address - Street 1:1040 N 2200 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-2905
Practice Address - Country:US
Practice Address - Phone:801-595-4375
Practice Address - Fax:801-595-2075
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT140651-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist