Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystal Pharmacy LLC

Organization Pharmacist · NPI 1225116239

Crystal Pharmacy LLC is a Pharmacist 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.

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Practice location Address checks out

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