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Find providers by NPI
Organization

OLD ROSWELL HOLDINGS LLC

Active
Parent organization
C L CRESSLER INC
Other names
The Medicine Shoppe
Organization subpart
Yes

Provider details

NPI number
Legal business name
C L CRESSLER INC
Authorized official
TRACY EDEN (MANAGER)
(404) 459-8005
Entity
Organization

Contact information

Practice address
1179 VESTAL AVE STE 1, BINGHAMTON, NY 13903-1606
(607) 723-7585
(607) 773-0936
Mailing address
5064 ROSWELL RD STE A200, ATLANTA, GA 30342-2252
(404) 459-8005
(404) 256-5517

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02734325
NY
Enumeration date
11/26/2018
Last updated
04/29/2025
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