Organization
C & W PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY WAYNE CRISP (OWNER)
(404) 362-2990
Entity
Organization
Contact information
Practice address
1032 MAIN ST, FOREST PARK, GA 30297-1442
(404) 366-4320
(404) 366-0834
Mailing address
1032 MAIN ST, FOREST PARK, GA 30297-1442
(404) 366-4320
(404) 366-0834
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
About Stedi
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