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Organization

BALDWIN PHARMACY LLC

Active
Other names
Baldwin Pharmacy LLC LTC
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS JORDAN CROW PHARMD, RPH (OWNER/PIC)
(706) 778-7174
Entity
Organization

Contact information

Practice address
1667 WILLINGHAM AVE, BALDWIN, GA 30511
(706) 778-7174
(706) 778-3405
Mailing address
PO BOX 910, BALDWIN, GA 30511-0910
(706) 778-7174
(706) 778-3405

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003175969A
GA
Enumeration date
03/03/2023
Last updated
03/02/2026
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