Organization
CCD OPERATING LLC
Active
Other names
Crescent Center Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RYAN KRAGEL PHARMD (OWNER/PIC)
(423) 586-6263
Entity
Organization
Contact information
Practice address
228 N FAIRMONT AVE, MORRISTOWN, TN 37814-3768
(423) 586-6263
(423) 587-5460
Mailing address
228 N FAIRMONT AVE, MORRISTOWN, TN 37814-3768
(423) 586-6263
(423) 587-5460
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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