Organization
CRISP REGIONAL HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RENEE BEARDEN (DIRECTOR REV INT)
(229) 276-3146
Entity
Organization
Contact information
Practice address
902 N 7TH ST, CORDELE, GA 31015
(229) 276-3386
(229) 276-3387
Mailing address
902 N 7TH ST, CORDELE, GA 31015-3234
(229) 276-3386
(229) 276-3387
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PHH003554
GA
3336L0003X
Long Term Care Pharmacy
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Other
Enumeration date
10/22/2014
Last updated
09/06/2018
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