MEDICARE: MRS. CRYSTAL ALIKA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	22188	NC

General Provider Information

NPI Number	:	1124424114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRYSTAL ALIKA PHARMD

Provider Business Mailing Address
First Line	:	5039 UNIVERSITY PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-6083
Country	:	US
Telephone Number	:	336-293-1341
Fax Number	:

Provider Business Practice Location Address
First Line	:	5039 UNIVERSITY PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-6083
Country	:	US
Telephone Number	:	336-293-1341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2014
Last Update Date	:	05/28/2025

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