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Organization
DJTR HOLDINGS INC
Active
Organization
DJTR HOLDINGS INC
Active
Other names
crossroads family pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ANN MOODY (ACCOUNTING MANAGER)
(229) 435-4571
Entity
Organization
Contact information
Practice address
7838 HIGHWAY 48, MENLO, GA 30731-6337
(706) 862-2064
(706) 862-2477
Mailing address
PO BOX 72148, ALBANY, GA 31708-2148
(229) 435-4571
(229) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009872
GA
Other
Enumeration date
09/27/2012
Last updated
03/29/2024
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