# BALDWIN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baldwin Pharmacy LLC LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720788318
- **Authorized official:** THOMAS JORDAN CROW PHARMD, RPH (OWNER/PIC)
- **Authorized official phone:** (706) 778-7174

## Contact information

- **Practice address:** 1667 WILLINGHAM AVE, BALDWIN, GA 30511
- **Practice address phone:** (706) 778-7174
- **Practice address fax:** (706) 778-3405
- **Mailing address:** PO BOX 910, BALDWIN, GA 30511-0910
- **Mailing address phone:** (706) 778-7174
- **Mailing address fax:** (706) 778-3405

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2023
- **Last updated:** 03/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003175969A | — | GA |