Provider Demographics
NPI:1417118803
Name:CRAWFORD, SHELLEY C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:C
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:31995 NORTHWESTERN HWY
Mailing Address - Street 2:WEISBERG CANCER CENTER PHARMACY
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1625
Mailing Address - Country:US
Mailing Address - Phone:248-538-4717
Mailing Address - Fax:248-538-4760
Practice Address - Street 1:31995 NORTHWESTERN HWY
Practice Address - Street 2:WEISBERG CANCER CENTER PHARMACY
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1625
Practice Address - Country:US
Practice Address - Phone:248-538-4717
Practice Address - Fax:248-538-4760
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI53020272301835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology