Individual
BRADLEY CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
420 S DETROIT ST, LAGRANGE, IN 46761-2310
(260) 463-7464
(260) 463-8150
Mailing address
420 S DETROIT ST, LAGRANGE, IN 46761-2310
(260) 463-7464
(260) 463-8150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26022452A
IN
183500000X
Pharmacist
RPH-0014826
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0014826
OR
Other
Enumeration date
10/05/2015
Last updated
02/18/2021
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