Crt Pharmacy

LBN: Crt Pharmacy
Crt Pharmacy is an health care organization with primary practice located at 1260 S Milledge Ave Ste F-1, Athens GA 30605-1496. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crt Pharmacy can be contacted via phone (706) 543-7386, or through Thurmond, Christopher via phone (706) 548-4444.

Contact Information

Primary practice address
1260 S Milledge Ave Ste F-1 Athens GA 30605-1496
Phone: (706) 543-7386
Fax: (706) 543-8544
Website:
Map and Directions
Authorized official contact:
Name: Thurmond, Christopher
Phone: (706) 548-4444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE000062 Georgia

Profile Details

NPI number 1912293770
LBN Legal business name Crt Pharmacy
DBA Doing business as
Authorized official Thurmond, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Jun 2nd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912293770 NPPES
Other 2130856 PK
MEDICAID 003113414A PK

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