Organization
CROWDERS NEIGHBORHOOD DRUG STORE INC
Active
Other names
CROWDERS DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ANDERSON B.S. (R.PH/OWNER)
(812) 275-5949
Entity
Organization
Contact information
Practice address
631 16TH ST, BEDFORD, IN 47421-3818
(812) 275-5949
(812) 277-3631
Mailing address
PO BOX 966, BEDFORD, IN 47421-0966
(812) 275-5959
(812) 277-3632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60000019A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100279070A
—
IN
01
—
1500227
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/31/2005
Last updated
10/08/2021
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