Provider Demographics
NPI:1841584109
Name:CRUMLEY, DANA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:CRUMLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MN
Mailing Address - Zip Code:56307-9804
Mailing Address - Country:US
Mailing Address - Phone:320-845-4220
Mailing Address - Fax:320-845-7670
Practice Address - Street 1:509 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:MN
Practice Address - Zip Code:56307-9804
Practice Address - Country:US
Practice Address - Phone:320-845-4220
Practice Address - Fax:320-845-7670
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist