Emily Craine, PHARMD

Individual provider Active NPI Pharmacist · Crownpoint, NM

NPI 1245841501 · NPPES record last updated Aug 11, 2020

Key facts

NPI
1245841501
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP454538 (PA)
Practice address
Hwy Junction 57, RT9
Crownpoint, NM 87313
Phone
(505) 786-6344
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
RP454538PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP454538 PA Yes

Addresses

Primary practice location

Hwy Junction 57, RT9
Crownpoint, NM 87313

Mailing address

PO Box 406
Crownpoint, NM 87313-0406

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.