Provider Demographics
NPI:1508485343
Name:CREWS, RYLEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RYLEN
Middle Name:
Last Name:CREWS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 E GLENN AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5099
Mailing Address - Country:US
Mailing Address - Phone:334-887-7043
Mailing Address - Fax:334-826-8124
Practice Address - Street 1:770 E GLENN AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5099
Practice Address - Country:US
Practice Address - Phone:334-887-7043
Practice Address - Fax:334-826-8124
Is Sole Proprietor?:No
Enumeration Date:2020-04-12
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist