Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Crystal Pharmacy LLC

Organization Pharmacist · NPI 1225116239

Crystal Pharmacy LLC provides Pharmacist services in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

705 S Main St
Moultrie, GA 31768
Phone: (229) 985-4137
Fax: (229) 890-5968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2206 (GA)

Record details

NPI number1225116239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scotty Jarvis — Managing Member · (229) 985-4137
Other names Crystal Pharmacy
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 8, Moultrie, GA 31776-0008

Other providers in Moultrie