Provider Demographics
NPI:1770781817
Name:CRABILL, ALISHA K (PD)
Entity type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:K
Last Name:CRABILL
Suffix:
Gender:F
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 ATWOOD RD STE F
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-6012
Mailing Address - Country:US
Mailing Address - Phone:501-888-7514
Mailing Address - Fax:501-888-7504
Practice Address - Street 1:3401 ATWOOD RD STE F
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-6012
Practice Address - Country:US
Practice Address - Phone:501-888-7514
Practice Address - Fax:501-888-7504
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist