<Unavail>

LBN: Crawford Drug Llc
<Unavail> is an health care organization with primary practice located at 1735 Dorchester Ave , Dorchester MA 02124-2535. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Crawford Drug Llc can be contacted via phone (617) 436-3400, or through Wilson, Michael James via phone (617) 436-3400.

Contact Information

Primary practice address
1735 Dorchester Ave Dorchester MA 02124-2535
Phone: (617) 436-3400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Michael James PHARM D
Phone: (617) 436-3400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1811528995
LBN Legal business name Crawford Drug Llc
DBA Doing business as <Unavail>
Authorized official Wilson, Michael James PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2020
Last updated Jul 25th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811528995 NPPES
Massachusetts MEDICAID 110106701A

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