| NPI | 1770941825 |
|---|---|
| Doing Business As | CRC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT GOLDMAN Vice President 678-935-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: GA PHRE010265) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-05 |