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General NPI Number Information
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NPI Number | 1821375825
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Entity Type | Individual
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Provider Name | ALEXANDRIA CRUMBLE-OWOLABI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 3401 E RAYMOND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4744
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Country | US
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Telephone | 463-268-6337
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Fax | 463-271-3900
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Provider Business Mailing Address
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Address Line | PO BOX 17474
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City | INDIANAPOLIS
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State | IN
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Zip | 46217-0474
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Country | US
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Telephone | 317-490-4477
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051292936
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26030232A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03446185
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License Number State | OH
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