Steven Lee Crawford, R. PH.
Individual provider Active NPI Pharmacist · Roanoke, IL
NPI 1295838522 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295838522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 322 N Main St
Roanoke, IL 61561-0617 - Phone
- (309) 923-7431
- Fax
- (309) 923-7055
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-032339 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
322 N Main St
Roanoke, IL 61561-0617
Mailing address
807 Curtis CT
Eureka, IL 61530-1606
Phone (309) 467-4496
Other providers in Roanoke, IL
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.