Crystal Carroll Allen, PHARMD
Individual provider Active NPI Pharmacist · Hawkinsville, GA
NPI 1235992124 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1235992124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH023833 (GA)
- Practice address
- 222 Perry Hwy BLDG a
Hawkinsville, GA 31036-6748 - Phone
- (478) 783-0327
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH023833 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH023833 | GA | Yes |
Addresses
Primary practice location
222 Perry Hwy BLDG a
Hawkinsville, GA 31036-6748
Mailing address
215 Southfield CT
Bonaire, GA 31005-3538
Phone (706) 255-9619
Other practice location 1
901 Griffin Ave
Eastman, GA 31023-6784
Phone (478) 448-4078
Other providers in Hawkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.