Provider Demographics
NPI:1992037576
Name:CROW, KATHY MURPHY (RPH)
Entity type:Individual
Prefix:MISS
First Name:KATHY
Middle Name:MURPHY
Last Name:CROW
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 1:1 FLOWER VALLEY SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-1644
Mailing Address - Country:US
Mailing Address - Phone:314-831-8400
Mailing Address - Fax:314-831-3649
Practice Address - Street 1:1 FLOWER VALLEY SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-1644
Practice Address - Country:US
Practice Address - Phone:314-831-8400
Practice Address - Fax:314-831-3649
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO041015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO600055800Medicaid