=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912825373
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK CROWDER
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2026
-----------------------------------------------------
Last Update Date | 07/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 MEDICAL CENTER DRIVE HC 63 BOX 9000
-----------------------------------------------------
City | DILKON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 86047-9477
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-657-1350
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 MEDICAL CENTER DRIVE HC 63 BOX 9000
-----------------------------------------------------
City | DILKON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 86047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-657-1350
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 47472
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------