Provider Demographics
NPI:1528670411
Name:CRABTREE, MARY ELIZABETH ANNA
Entity type:Individual
Prefix:DR
First Name:MARY ELIZABETH
Middle Name:ANNA
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10040 COUNTY ROAD 48
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-4520
Mailing Address - Country:US
Mailing Address - Phone:251-990-9907
Mailing Address - Fax:
Practice Address - Street 1:10040 COUNTY ROAD 48
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-4520
Practice Address - Country:US
Practice Address - Phone:251-990-9907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS61342183500000X
AL21587183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist