Provider Demographics
NPI:1669272571
Name:CRESCENT SERVICES II LLC
Entity type:Organization
Organization Name:CRESCENT SERVICES II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SHERRER
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:404-317-0303
Mailing Address - Street 1:80 FOOTHILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:MARBLE HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30148-2255
Mailing Address - Country:US
Mailing Address - Phone:770-893-3784
Mailing Address - Fax:770-893-3600
Practice Address - Street 1:80 FOOTHILLS PKWY
Practice Address - Street 2:
Practice Address - City:MARBLE HILL
Practice Address - State:GA
Practice Address - Zip Code:30148-2255
Practice Address - Country:US
Practice Address - Phone:770-893-3784
Practice Address - Fax:770-893-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy