Crawford Drug

LBN: Crawford Drug Llc
Crawford Drug is an health care organization with primary practice located at 1735 Dorchester Ave , Dorchester Center MA 02124-2535. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crawford Drug Llc can be contacted via phone (617) 436-3400, or through Kinan, Stephen Ronald via phone (617) 436-3400.

Contact Information

Primary practice address
1735 Dorchester Ave Dorchester Center MA 02124-2535
Fax: (617) 436-2243
Website:
Authorized official contact:
Name: Kinan, Stephen Ronald

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1431 Massachusetts

Profile Details

NPI number 1811058985
LBN Legal business name Crawford Drug Llc
DBA Doing business as Crawford Drug
Authorized official Kinan, Stephen Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Dec 14th, 2016 - about 8 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 1811058985 NPPES
Massachusetts MEDICAID 110106701A

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