Organization
CRAWFORDS PHARMACY INC
Active
Other names
CRAWFORD'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY H WOLFENDEN RPH (PRESIDENT)
(423) 479-8601
Entity
Organization
Contact information
Practice address
2260 CHAMBLISS AVE NW, CLEVELAND, TN 37311
(423) 479-8601
Mailing address
PO BOX 3326, CLEVELAND, TN 37320-3326
(423) 479-8601
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
215
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452447
—
TN
01
—
215
STATE LICENSE BOARD OF PHARMACY
TN
01
—
4415964
NABP
TN
Enumeration date
02/28/2007
Last updated
03/07/2023
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