MEDICARE: JANET CROWE

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	C8220	TN

General Provider Information

NPI Number	:	1912373135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET CROWE

Provider Business Mailing Address
First Line	:	702 W HIGHWAY 25 70
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-9020
Country	:	US
Telephone Number	:	423-615-6178
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 W HIGHWAY 25 70
Second Line	:
City	:	NEWPORT
State	:	TN
Zip	:	37821-9020
Country	:	US
Telephone Number	:	423-615-6178
Fax Number	:

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

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	08/12/2015

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Directions to “ JANET CROWE ” Practice Location

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