Organization · Type 2 NPI

DJTR Holdings Inc

Community/Retail Pharmacy · Menlo, GA

NPI number 1932450293 Active

Practice location

7838 Highway 48
Menlo, GA 30731-6337

Call (706) 862-2064 Map

Fax (706) 862-2477

Mailing address

PO Box 72148
Albany, GA 31708-2148

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHRE009872 (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 …

Another provider at this address

DJTR Holdings IncLong Term Care Pharmacy Menlo, GA NPI 1942068234

NPI record

NPI: 1932450293
Entity type: Organization (Type 2)
Issued: Sep 27, 2012
Last updated: Mar 29, 2024
Status: Active

Other names

<unavail>
Crossroads Family Pharmacy · doing business as
Crossroads Family Pharmacy · doing business as

Authorized official

Beverly Ann Moody
Accounting Manager
(229) 435-4571

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932450293

DJTR Holdings Inc's National Provider Identifier is 1932450293, issued on Sep 27, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Menlo, GA. The record was last updated on Mar 29, 2024.