# CRT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hodgson's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912293770
- **Authorized official:** RABUN WILEY NEVES PHARMD (VICE PRESIDENT/PIC/OWNER)
- **Authorized official phone:** (706) 543-7386

## Contact information

- **Practice address:** 1260 S MILLEDGE AVE, STE F-1, ATHENS, GA 30605-1496
- **Practice address phone:** (706) 543-7386
- **Practice address fax:** (706) 543-8544
- **Mailing address:** 1260 S MILLEDGE AVE, STE F-1, ATHENS, GA 30605
- **Mailing address phone:** (706) 543-7386
- **Mailing address fax:** (706) 543-8544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE000062 | GA | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 07/03/2025