Organization
CRIMSON CARE PHARMACY GROUP I., LLC
Active
Organization
CRIMSON CARE PHARMACY GROUP I., LLC
Active
Other names
PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE DOUGLAS PHARM. D. (PHARMACIST / OWNER)
(254) 694-2249
Entity
Organization
Contact information
Practice address
203 E JEFFERSON AVE, WHITNEY, TX 76692-2302
(254) 694-2249
(254) 694-6495
Mailing address
PO BOX 1126, WHITNEY, TX 76692-1126
(254) 694-2249
(254) 694-6495
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143231
—
TX
05
—
19055070102
—
TX
01
—
2096515
PK
—
Enumeration date
12/27/2006
Last updated
06/27/2023
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