Organization
CRAWFORD W LONG PHARMACY INC LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED C GURLEY (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
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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