Organization
CRAWFORD PHARMACY, LLC
Active
Organization
CRAWFORD PHARMACY, LLC
Active
Other names
Crawford Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE MICHELLE HEINE PHARM.D. (OWNER/RP IN CHARGE)
(308) 665-1395
Entity
Organization
Contact information
Practice address
312 2ND ST, CRAWFORD, NE 69339-1052
(308) 665-1395
Mailing address
312 2ND ST, CRAWFORD, NE 69339-1052
(308) 665-1395
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
309
NE
3336C0002X
Clinic Pharmacy
309
NE
3336C0003X
Community/Retail Pharmacy
Primary
309
NE
3336C0004X
Compounding Pharmacy
309
NE
3336L0003X
Long Term Care Pharmacy
309
NE
Other
Enumeration date
08/08/2007
Last updated
06/25/2008
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