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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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