Provider Demographics
NPI:1063757417
Name:CROWELL, NANCY BELINDA (RPH)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:BELINDA
Last Name:CROWELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 PERDENALES DR
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-5081
Mailing Address - Country:US
Mailing Address - Phone:972-757-4748
Mailing Address - Fax:972-636-3190
Practice Address - Street 1:1301 E ARAPAHO RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2497
Practice Address - Country:US
Practice Address - Phone:888-777-5547
Practice Address - Fax:888-777-5645
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist