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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