Organization
DJTR HOLDINGS INC
Active
Other names
Crossroads Family Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY C ALLIGOOD (ACCOUNTING MANAGER)
(229) 435-4571
Entity
Organization
Contact information
Practice address
7838 HIGHWAY 48, MENLO, GA 30731
(706) 862-2064
(706) 862-2477
Mailing address
PO BOX 72148, ALBANY, GA 31708-2148
(229) 435-4571
(229) 878-4926
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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