| NPI | 1669663134 |
|---|---|
| Doing Business As | CRAWFORD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BROOKE MICHELLE HEINE Owner/Rp In Charge 308-665-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 309) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 309) |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NE 309) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NE 309) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 309) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-06-25 |