Provider Demographics
NPI:1265944508
Name:CRWON MEDICAL INC.
Entity type:Organization
Organization Name:CRWON MEDICAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:OBY
Authorized Official - Middle Name:G
Authorized Official - Last Name:UYANWUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-682-7044
Mailing Address - Street 1:695 HIGHWAY 3 N
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-2832
Mailing Address - Country:US
Mailing Address - Phone:678-782-7044
Mailing Address - Fax:678-782-7046
Practice Address - Street 1:695 HIGHWAY 3 N
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-2832
Practice Address - Country:US
Practice Address - Phone:678-782-7044
Practice Address - Fax:678-782-7046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0103963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy