# CRAWFORD DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crawford Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811528995
- **Authorized official:** MICHAEL JAMES WILSON PHARM D (CO-OWNER)
- **Authorized official phone:** (617) 436-3400

## Contact information

- **Practice address:** 1735 DORCHESTER AVE, DORCHESTER, MA 02124-2535
- **Practice address phone:** (617) 436-3400
- **Mailing address:** 1735 DORCHESTER AVE, DORCHESTER, MA 02124-2535
- **Mailing address phone:** (617) 436-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 07/25/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110106701A | — | MA |