Provider Demographics
NPI:1871580357
Name:CRAWFORD, MELISSA (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 OPAL CT
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2322
Mailing Address - Country:US
Mailing Address - Phone:724-226-8915
Mailing Address - Fax:
Practice Address - Street 1:2612 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2513
Practice Address - Country:US
Practice Address - Phone:724-224-7111
Practice Address - Fax:724-224-0443
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041770L1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy