# DJTR HOLDINGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** crossroads family pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932450293
- **Authorized official:** BEVERLY ANN MOODY (ACCOUNTING MANAGER)
- **Authorized official phone:** (229) 435-4571

## Contact information

- **Practice address:** 7838 HIGHWAY 48, MENLO, GA 30731-6337
- **Practice address phone:** (706) 862-2064
- **Practice address fax:** (706) 862-2477
- **Mailing address:** PO BOX 72148, ALBANY, GA 31708-2148
- **Mailing address phone:** (229) 435-4571
- **Mailing address fax:** (229) 435-7069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009872 | GA | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 03/29/2024