Organization
CRANE PHARMACY LLC
Active
Other names
Crane Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AARON GIBSON (MANAGER)
(432) 558-2411
Entity
Organization
Contact information
Practice address
515 S ALFORD ST, CRANE, TX 79731-2517
(432) 558-2411
(432) 558-3908
Mailing address
515 S ALFORD ST, CRANE, TX 79731-2517
(432) 558-2411
(432) 558-3908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153407
PK
—
Enumeration date
12/13/2006
Last updated
05/20/2016
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