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NPI Code Detail

MEDICARE: DR. STEPHEN CHARLES MCCRUMB PHARMD

MEDICARE: DR. STEPHEN CHARLES MCCRUMB 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist18056CO

General Provider Information

NPI Number : 1457696049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN CHARLES MCCRUMB PHARMD
Provider Business Mailing Address
First Line : 6550 LOOKOUT RD
Second Line :
City : BOULDER
State : CO
Zip : 80301-3303
Country : US
Telephone Number : 303-475-4077
Fax Number : 303-530-3507
Provider Business Practice Location Address
First Line : 65 TEJON ST
Second Line :
City : DENVER
State : CO
Zip : 80223-1221
Country : US
Telephone Number : 303-698-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2012
Last Update Date : 06/03/2026

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