Healthcare Provider Details

I. General information

NPI: 1942822382
Provider Name (Legal Business Name): CHERIEE-DONN CREWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 02/10/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
ELIZABETH PA
15037
US

IV. Provider business mailing address

300 MARKET ST
ELIZABETH PA
15037
US

V. Phone/Fax

Practice location:
  • Phone: 412-384-2890
  • Fax:
Mailing address:
  • Phone: 412-384-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453061
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: