Crystal Pharmacy LLC

NPI #1225116239 in Moultrie, Georgia

Provider Information

NPI Number: 1225116239
Entity Type: Organization
Organization Name: Crystal Pharmacy LLC
Primary Specialty: Pharmacist
Enumeration Date: Nov 1, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 705 SOUTH MAIN ST
City: Moultrie
State: Georgia
ZIP Code: 31768
Phone: (229) 985-4137

Authorized Official

Name: SCOTTY JARVIS, PHARMD
Title: MANAGING MEMBER
Phone: (229) 985-4137

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