Crystal Burcham
Individual provider Active NPI Pharmacy Technician · Ranson, WV
NPI 1508604265 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1508604265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- PT0010197 (WV)
- Practice address
- 217 Oak Lee Dr
Ranson, WV 25438-4871 - Phone
- (304) 728-9041
- NPI assigned
- Jul 17, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0010197 | WV | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PT0010197 | WV | Yes |
Addresses
Primary practice location
217 Oak Lee Dr
Ranson, WV 25438-4871
Mailing address
217 Oak Lee Dr
Ranson, WV 25438-4871
Phone (304) 728-9041
Other providers in Ranson, WV
- Linda Diane Bowers
- Eric Kevin Bowman
- James Scott Boyd
- Georgetta Breeden
- Breanne Bucynski
- Heather Burgos
- Charlotte Burkett
- April J Burnell
- Kiana Burns
- Erin Marie Hamilton Butcho
All providers in Ranson, WV · Pharmacy Technician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. 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.