Healthcare Provider Details

I. General information

NPI: 1922952142
Provider Name (Legal Business Name): KRISTIN CRANE RPH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST
DAYTON OH
45409-2722
US

IV. Provider business mailing address

847 FLANDERS AVE
BROOKVILLE OH
45309-1378
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-4848
  • Fax:
Mailing address:
  • Phone: 937-689-2386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03325630
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: