Crystal Pharmacy, LLC

NPI #1700897659 in Moultrie, Georgia

Provider Information

NPI Number
1700897659
Entity Type
Organization
Organization Name
Crystal Pharmacy, LLC
Primary Specialty
Pharmacist
Enumeration Date
Aug 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
705 S MAIN ST
State
Georgia
ZIP Code
31768-5432
Phone
(229) 985-4137

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacist

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