Organization
CRAWFORD W LONG PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED GURLEY RPH (PHARMACIST/OWNER)
(706) 367-5285
Entity
Organization
Contact information
Practice address
86 N PUBLIC SQ, JEFFERSON, GA 30549-1084
(706) 367-5285
(706) 367-2283
Mailing address
86 N PUBLIC SQ, JEFFERSON, GA 30549-1084
(706) 367-5285
(706) 367-2283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000025495A
—
GA
Enumeration date
07/28/2006
Last updated
07/02/2025
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