Organization
CROSSROADS PHARMACY
Active
Other names
CROSSROADS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LONG RPH (PHARMACIST)
(704) 276-1078
Entity
Organization
Contact information
Practice address
3123 PLATEAU RD, NEWTON, NC 28658-8900
(704) 276-1078
(704) 276-1079
Mailing address
3123 PLATEAU RD, NEWTON, NC 28658-8900
(704) 276-1078
(704) 276-1079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
08174
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186215
—
NC
01
—
2069498
PK
—
Enumeration date
02/21/2007
Last updated
05/20/2016
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