Provider Demographics
NPI:1841423639
Name:CROWE, SHEILA MARIE (RPH)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:CROWE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 44TH ST SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-3971
Mailing Address - Country:US
Mailing Address - Phone:616-554-3530
Mailing Address - Fax:616-554-6171
Practice Address - Street 1:800 WEST LEONARD
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504
Practice Address - Country:US
Practice Address - Phone:616-458-8300
Practice Address - Fax:616-458-3961
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist