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Organization
CRAWFORD PROFESSIONAL DRUGS INC
Active
Organization
CRAWFORD PROFESSIONAL DRUGS INC
Active
Other names
DIKET'S PROFESSIONAL DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
TRY CRAWFORD REG. PHARM (OWNER, PRES, PIC,AO)
(601) 425-2527
Entity
Organization
Contact information
Practice address
240 S 13TH AVE, LAUREL, MS 39440-4226
(601) 425-2527
(601) 425-2528
Mailing address
240 S 13TH AVE, LAUREL, MS 39440-4226
(601) 425-2527
(601) 425-2528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
01098011
MS
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030708
—
MS
01
—
2050527
PK
—
Enumeration date
11/17/2006
Last updated
03/07/2017
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