Crystal Pharmacy Llc is not a DME supplier for medicare equipments and products.
Crystal Pharmacy Llc is a Community/Retail Pharmacy in Moultrie, Georgia. It is located at 705 S Main St, Moultrie and it's customer support contact number is 229-985-4137. The authorized person of Crystal Pharmacy Llc is Scotty Jarvis, PHRMD who is Managing Member of the pharmacy and his contact number is 229-985-4137. Active license number of Crystal Pharmacy Llc is PHRE002206 for Community/Retail Pharmacy in Georgia. Crystal Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Crystal Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Crystal Pharmacy Llc
Type:
Community/Retail Pharmacy
Location:
705 S Main St, Moultrie, Georgia, 31768-5432
Phone:
229-985-4137
Fax:
229-890-5968
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Scotty Jarvis
Credentials:
PHRMD
Position:
Managing Member
Contact Number:
229-985-4137
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1790877942
NPI Enumeration Date:
28 Sep, 2006
NPI Last Update On:
25 Nov, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHRE002206
Georgia
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2016008
Other
Pk
393761900A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 8, Moultrie, Georgia
Zip:
31776-0008
Phone Number:
229-985-4137
Fax Number:
229-890-5968
Patients can reach Crystal Pharmacy Llc at 705 S Main St, Moultrie, Georgia or can call on customer care at 229-985-4137.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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