Organization
CROWELL DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURTON J CROWELL (PHARMACIST/OWNER)
(620) 231-0750
Entity
Organization
Contact information
Practice address
401 N BROADWAY ST, PITTSBURG, KS 66762-3913
(620) 231-0750
Mailing address
PO BOX 1775, PITTSBURG, KS 66762-1775
(620) 231-0750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
204635
KS
3336C0003X
Community/Retail Pharmacy
Primary
204635
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100434450A
—
KS
01
—
100434460A
KS MEDICAID DME
KS
01
—
1701071
NABP
KS
Enumeration date
09/27/2006
Last updated
03/07/2023
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