Organization
CRAWFORD PROFESSIONAL DRUGS INC
Active
Other names
DIKET'S PROFESSIONAL DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
TRY CRAWFORD REG. PHARM (OWNER, PRES, PIC,AO)
(601) 425-2527
Entity
Organization
Contact information
Practice address
240 S 13TH AVE, LAUREL, MS 39440-4226
(601) 425-2527
(601) 425-2528
Mailing address
240 S 13TH AVE, LAUREL, MS 39440-4226
(601) 425-2527
(601) 425-2528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01098011
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030708
—
MS
01
—
2050527
PK
—
Enumeration date
11/17/2006
Last updated
03/07/2017
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