Organization
CRISP & ASSOCIATES II, LLC
Active
Other names
Christians Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY WAYNE CRISP RPH (OWNER)
(404) 362-2990
Entity
Organization
Contact information
Practice address
4980 PHILLIPS DR, FOREST PARK, GA 30297-1472
(404) 362-2990
(404) 362-2994
Mailing address
4980 PHILLIPS DR, FOREST PARK, GA 30297-1472
(404) 362-2990
(404) 362-2994
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHHH000063
GA
3336C0004X
Compounding Pharmacy
Primary
PHHH000063
GA
3336H0001X
Home Infusion Therapy Pharmacy
PHHH000063
GA
3336S0011X
Specialty Pharmacy
PHHH000063
GA
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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