Organization · Type 2 NPI

Crystal Pharmacy LLC

Community/Retail Pharmacy · Moultrie, GA

NPI number 1790877942 Active

Practice location

705 S Main St
Moultrie, GA 31768-5432

Call (229) 985-4137 Map

Fax (229) 890-5968

Mailing address

PO Box 8
Moultrie, GA 31776-0008

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003XPHRE002206 (GA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1790877942

Crystal Pharmacy LLC's National Provider Identifier is 1790877942, issued on Sep 28, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Moultrie, GA. The record was last updated on Nov 25, 2014.