Provider Demographics
NPI:1285934471
Name:CRIBLEY, ALEXANDER EDWARD-TAPANI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:EDWARD-TAPANI
Last Name:CRIBLEY
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 1:10772 WEST CARSON CITY ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838
Mailing Address - Country:US
Mailing Address - Phone:616-754-5203
Mailing Address - Fax:616-754-5372
Practice Address - Street 1:10772 WEST CARSON CITY ROAD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838
Practice Address - Country:US
Practice Address - Phone:616-754-5203
Practice Address - Fax:616-754-5372
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302038190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist