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NPI Code Detail

MEDICARE: ALYSSA MARIE CRAWFORD RPH, PHARMD

MEDICARE: ALYSSA MARIE CRAWFORD RPH, PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03136043OH

General Provider Information

NPI Number : 1417552035
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MARIE CRAWFORD RPH, PHARMD
Provider Business Mailing Address
First Line : 3382 BRENDAN DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43221-4426
Country : US
Telephone Number : 412-913-7511
Fax Number :
Provider Business Practice Location Address
First Line : 2100 E DUBLIN GRANVILLE RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-3518
Country : US
Telephone Number : 614-891-1410
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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