# CRAWFORD PROFESSIONAL DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DIKET'S PROFESSIONAL DRUGS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992879415
- **Authorized official:** TRY CRAWFORD REG. PHARM (OWNER, PRES, PIC,AO)
- **Authorized official phone:** (601) 425-2527

## Contact information

- **Practice address:** 240 S 13TH AVE, LAUREL, MS 39440-4226
- **Practice address phone:** (601) 425-2527
- **Practice address fax:** (601) 425-2528
- **Mailing address:** 240 S 13TH AVE, LAUREL, MS 39440-4226
- **Mailing address phone:** (601) 425-2527
- **Mailing address fax:** (601) 425-2528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 01098011 | MS | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 03/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030708 | — | MS |
| 01 | — | 2050527 | PK | — |