MEDICARE: RODNEY KEITH CROWELL PHARMACIST

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	13248	AL

General Provider Information

NPI Number	:	1972192201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY KEITH CROWELL PHARMACIST

Provider Business Mailing Address
First Line	:	313 SAND MOUNTAIN DR E
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-2371
Country	:	US
Telephone Number	:	256-878-6930
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 SAND MOUNTAIN DR E
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-2371
Country	:	US
Telephone Number	:	125-687-8693
Fax Number	:

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

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	01/12/2021

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