| Organization Name: | CROW CREEK THERAPEUTICS, LLC |
| NPI Number: | 1053580167 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC SAKON (PRESIDENT) |
| Mailing Address: | 1740 Harmon Ave Ste H Columbus |
| State: | OH US |
| Postal Code: | 432233355 |
| Phone Number: | 8884202337 |
| Fax Number: | 8662285570 |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 1752867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |