W. R. Crow, PHARM-D, CDM, CDE
Individual provider Active NPI Pharmacist · Covington, WA
NPI 1093868366 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093868366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22499 (WA)
- Practice address
- 17241 SE 272ND St
Suite 124
Covington, WA 98042-4965 - Phone
- (253) 631-1200
- Fax
- (253) 631-7147
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22499 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covington Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22499 | WA | Yes |
Addresses
Primary practice location
17241 SE 272ND St
Suite 124
Covington, WA 98042-4965
Mailing address
30819 47TH Ave S
Auburn, WA 98001-2614
Phone (253) 833-9258
Other names
- W. R. Hudgins
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.