Organization
CRYSTAL PHARMACY
Active
Organization
CRYSTAL PHARMACY
Active
Other names
CRYSTAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EMMANUEL BARKLEY RPH (PHARMACIST IN CHARGE)
(575) 395-7559
Entity
Organization
Contact information
Practice address
174 HOSPITAL DR, RATON, NM 87740-2002
(505) 363-3434
(575) 445-4899
Mailing address
174 HOSPITAL DR, RATON, NM 87740-2002
(575) 395-7559
(575) 396-1049
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
08/14/2025
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