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1700897659
CRYSTAL PHARMACY, LLC
MOULTRIE, GA
NPI
1700897659
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Entity Type
Organization
Authorized Contact
SCOTTY JARVIS
Managing Member
229-985-4137
Organization Subpart ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA 19927)
Enumeration Date
2006-08-10
Last Update Date
2020-08-22
Business Address
CRYSTAL PHARMACY, LLC
705 S MAIN ST
MOULTRIE, GA 31768-5432
Phone number: 229-985-4137
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Mailing Address
CRYSTAL PHARMACY, LLC
PO BOX 8
MOULTRIE, GA 31776-0008
Phone number: 229-985-4137
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