MEDICARE: DR. AMBER CROCKETT PHARM D.

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	183500000X	Pharmacist	024697	KY

General Provider Information

NPI Number	:	1730034299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER CROCKETT PHARM D.

Provider Business Mailing Address
First Line	:	155 CALUMET LOOP
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-4484
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 CALUMET LOOP
Second Line	:
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-4484
Country	:	US
Telephone Number	:	832-493-4906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ DR. AMBER CROCKETT PHARM D.” Practice Location

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