MEDICARE: JENNIFER ELIZABETH CROWLEY PHARM.D.

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
1	183500000X	Pharmacist	13994	AL

General Provider Information

NPI Number	:	1427377233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ELIZABETH CROWLEY PHARM.D.

Provider Business Mailing Address
First Line	:	708 MONTGOMERY HWY
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-1812
Country	:	US
Telephone Number	:	205-979-2180
Fax Number	:	205-823-6801

Provider Business Practice Location Address
First Line	:	708 MONTGOMERY HWY
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-1812
Country	:	US
Telephone Number	:	205-979-2180
Fax Number	:	205-823-6801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2010
Last Update Date	:	05/19/2010

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