| NPI | 1225049893 |
|---|---|
| Doing Business As | CRESCENT CENTER DRUG |
| Entity Type | Organization |
| Authorized Contact | DAVID RYAN KRAGEL Owner/Pharmacist 423-586-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 703) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-03-06 |