Provider Demographics
NPI:1093124075
Name:CRANE, JAMIE RENAE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:RENAE
Last Name:CRANE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:RENAE
Other - Last Name:JOEHNCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:31009 PACIFIC HWY S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4903
Mailing Address - Country:US
Mailing Address - Phone:253-946-4033
Mailing Address - Fax:253-946-4045
Practice Address - Street 1:31009 PACIFIC HWY S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4903
Practice Address - Country:US
Practice Address - Phone:253-946-4033
Practice Address - Fax:253-946-4045
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60479617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist