Healthcare Provider Details

I. General information

NPI: 1861496523
Provider Name (Legal Business Name): JAMES ROWE CRANE JR. R. PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 19TH ST
BIRMINGHAM AL
35218-1601
US

IV. Provider business mailing address

413 19TH ST
BIRMINGHAM AL
35218-1601
US

V. Phone/Fax

Practice location:
  • Phone: 205-787-4671
  • Fax: 205-788-0450
Mailing address:
  • Phone: 205-787-4671
  • Fax: 205-788-0450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10987
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: