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Crystal Pharmacy Llc
Community/Retail Pharmacy in Moultrie, Georgia
NPI 1790877942

Crystal Pharmacy Llc is a Community/Retail Pharmacy based in Moultrie, GA and is specialized in Community/Retail Pharmacy. Crystal Pharmacy Llc practices in Moultrie, GA. The NPI Number for Crystal Pharmacy Llc is 1790877942 and holds a License No. (Georgia).

The current practice location address for Crystal Pharmacy Llc is 705 S Main St, Moultrie, GA and can be reached out via phone at 229-985-4137 and via fax at 229-890-5968.

Location: 705 S Main St, Moultrie, GA, 31776-0008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790877942
Provider Name
Crystal Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
705 S Main St, Moultrie, GA, 31776-0008
Phone Number
229-985-4137
Fax Number
229-890-5968
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2016008 01 PK
393761900A 05 GA
institution
Provider Business Practice Location Address Details
Address
705 S Main St
City
Moultrie
State
Georgia
Zip
31768-5432
Phone Number
229-985-4137
Fax Number
229-890-5968
person
Provider Business Mailing Address Details
Address
705 S Main St
City
Moultrie
State
Georgia
Zip
31768-5432
Phone Number
229-985-4137
Fax Number
229-890-5968
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHRE002206 (Georgia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
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