Crystal Pharmacy LLC

NPI #1790877942 in Moultrie, Georgia

Provider Information

NPI Number
1790877942
Entity Type
Organization
Organization Name
Crystal Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 28, 2006
Last Updated
Nov 25, 2014

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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