Provider Demographics
NPI:1730781485
Name:CREWS, LAUREN CHAVIRA (PHARMD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:CHAVIRA
Last Name:CREWS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 ROYAL CT
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-7492
Mailing Address - Country:US
Mailing Address - Phone:270-799-6225
Mailing Address - Fax:
Practice Address - Street 1:1340 KY HIGHWAY 185
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-9691
Practice Address - Country:US
Practice Address - Phone:270-842-4341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist