Provider Demographics
NPI:1992152649
Name:CRUSE, BRITTNEY RICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:RICHELLE
Last Name:CRUSE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BRITTNEY
Other - Middle Name:RICHELLE
Other - Last Name:BUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:GANADO
Mailing Address - State:TX
Mailing Address - Zip Code:77962-0315
Mailing Address - Country:US
Mailing Address - Phone:361-771-3590
Mailing Address - Fax:
Practice Address - Street 1:305 WEST YORK
Practice Address - Street 2:
Practice Address - City:GANADO
Practice Address - State:TX
Practice Address - Zip Code:77962
Practice Address - Country:US
Practice Address - Phone:361-771-3590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist