| NPI | 1225116239 |
|---|---|
| Doing Business As | CRYSTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTTY JARVIS Managing Member 229-985-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 2206) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-03-07 |