| NPI | 1710765821 |
|---|---|
| Doing Business As | CRYSTAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES EMMANUEL BARKLEY Pharmacist In Charge 575-395-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-08-14 |