Provider Demographics
NPI:1336469238
Name:CRANE, STEVEN AUBREY (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:AUBREY
Last Name:CRANE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 WADE HAMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-1039
Mailing Address - Country:US
Mailing Address - Phone:864-268-3342
Mailing Address - Fax:864-609-9954
Practice Address - Street 1:2100 WADE HAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-1039
Practice Address - Country:US
Practice Address - Phone:864-268-3342
Practice Address - Fax:864-609-9954
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7052183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist