Organization
C & W HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY WAYNE CRISP (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
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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