Organization
CRAWFORDVILLE PHARMACY INC
Active
Organization
CRAWFORDVILLE PHARMACY INC
Active
Other names
Crawfordville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENAN ALKHOURY (AO)
(850) 962-8946
Entity
Organization
Contact information
Practice address
2650 CRAWFORDVILLE HWY, SUITE 1, CRAWFORDVILLE, FL 32327
(352) 874-9878
(352) 874-9878
Mailing address
2650 CRAWFORDVILLE HWY STE 1, CRAWFORDVILLE, FL 32327-2369
(352) 874-9878
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598204547
—
FL
01
—
PH30647
PHARMACY PERMIT
FL
Enumeration date
02/22/2017
Last updated
07/16/2025
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