# CRISP REGIONAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRISP REGIONAL LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679836142
- **Authorized official:** WHITNEY HILL BROWN PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (229) 276-3386

## Contact information

- **Practice address:** 216 HOSPITAL DR, CORDELE, GA 31015-3275
- **Practice address phone:** (229) 276-3372
- **Practice address fax:** (229) 276-3641
- **Mailing address:** 902 N 7TH ST, 902 N 7TH STREET, CORDELE, GA 31015-3234
- **Mailing address phone:** (229) 276-3386
- **Mailing address fax:** (229) 276-3387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRE005310 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 07/09/2024