MEDICARE: MR. JAMES ROWE CRANE JR. R. PH.

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	10987	AL

General Provider Information

NPI Number	:	1861496523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES ROWE CRANE JR. R. PH.

Provider Business Mailing Address
First Line	:	413 19TH ST
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35218-1601
Country	:	US
Telephone Number	:	205-787-4671
Fax Number	:	205-788-0450

Provider Business Practice Location Address
First Line	:	413 19TH ST
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35218-1601
Country	:	US
Telephone Number	:	205-787-4671
Fax Number	:	205-788-0450

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	07/08/2007

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