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

Crystal Pharmacy, LLC

Organization Pharmacist · NPI 1700897659

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.

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Practice location Address checks out

705 S Main St
Moultrie, GA 31768-5432
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 19927 (GA)

Record details

NPI number1700897659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scotty Jarvis — Managing Member · (229) 985-4137
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 8, Moultrie, GA 31776-0008

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