MEDICARE: CROWELL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	14720	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2145467	OTHER		PK

General Provider Information

NPI Number	:	1336242460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWELL INC

Provider Business Mailing Address
First Line	:	PO BOX 760
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-0760
Country	:	US
Telephone Number	:	972-362-8856
Fax Number	:	972-472-8181

Provider Business Practice Location Address
First Line	:	205 E MAIN ST
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-3731
Country	:	US
Telephone Number	:	972-635-2451
Fax Number	:	972-636-3190

Authorized Official
Title or Position	:	PIC
Name	:	MICHAEL CRAWFORD
Credential	:
Telephone Number	:	972-362-8856

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	05/19/2021

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Directions to “CROWELL INC ” Practice Location

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