T ELAINE FAIR CRUMP

NPI: 1003403460 · Individual · Active

Primary Specialty

Pharmacist

Practice Location

1150 HUSKY TRL
WARSAW, IN 46582-1952 Map ↗
Phone: 574-371-9080
Fax: 574-371-9081

Mailing Address

22345 SOMMERSET PLACE BLVD
GOSHEN, IN 46528-8317 Map ↗
Phone: 574-903-5433

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Pharmacist Primary (license: 26015493A, IN)

NPI Registration

Enumerated: 2020-12-30

Last CMS Update: 2020-12-30