Nicole Crawford, RPH
Individual provider Active NPI Pharmacist · Dillon, MT
NPI 1376901702 · NPPES record last updated Jan 30, 2016
Key facts
- NPI
- 1376901702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 25974 (MT)
- Practice address
- 125 E Glendale St
Dillon, MT 59725-2505 - Phone
- (406) 683-2316
- Fax
- (406) 683-5182
- NPI assigned
- Jan 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 25974 | MT | MD | Pharmacist |
| RP045326L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25974 | MT | Yes |
| Pharmacist | 183500000X | RP045326L | PA |
Addresses
Primary practice location
125 E Glendale St
Dillon, MT 59725-2505
Mailing address
125 E Glendale St
Dillon, MT 59725-2505
Phone (406) 683-2316
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2016. 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.