Provider Demographics
NPI:1699871483
Name:CROWE, CRAIG DENNIS (RPH)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:DENNIS
Last Name:CROWE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 HATHAWAY RISING
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3939
Mailing Address - Country:US
Mailing Address - Phone:248-652-9396
Mailing Address - Fax:
Practice Address - Street 1:765 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6510
Practice Address - Country:US
Practice Address - Phone:248-628-7990
Practice Address - Fax:248-628-6507
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist