Healthcare Provider Details

I. General information

NPI: 1255438115
Provider Name (Legal Business Name): SHARON MACKEY CROW PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON MARIE MACKEY

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

28233 51ST PL S
AUBURN WA
98001-1932
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-3885
  • Fax:
Mailing address:
  • Phone: 253-854-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00039825
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: