# SALEM CROSSROADS APOTHECARY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salem Crossroads Apothecary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013699735
- **Authorized official:** DENNIS KIESEL (PHARMACIST IN CHARGE)
- **Authorized official phone:** (724) 468-5565

## Contact information

- **Practice address:** 195 SHEFFIELD DR STE B, DELMONT, PA 15626-1744
- **Practice address phone:** (724) 468-5565
- **Practice address fax:** (724) 468-8336
- **Mailing address:** 195 SHEFFIELD DR STE B, DELMONT, PA 15626-1744
- **Mailing address phone:** (724) 468-5565
- **Mailing address fax:** (724) 468-8336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2023
- **Last updated:** 11/07/2023