| NPI | 1679836142 |
|---|---|
| Doing Business As | CRISP REGIONAL LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LYNN RENEE BEARDEN Dir Rev Int 229-276-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE005310) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-09-06 |