Organization
SALEM CROSSROADS APOTHECARY LLC
Active
Organization
SALEM CROSSROADS APOTHECARY LLC
Active
Other names
SALEM CRSSRDS APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS JAMES KIESEL (OWNER)
(724) 468-5565
Entity
Organization
Contact information
Practice address
195 SHEFFIELD DR STE B, DELMONT, PA 15626-1744
(724) 468-5565
(724) 468-8336
Mailing address
195 SHEFFIELD DR STE B, DELMONT, PA 15626-1744
(724) 468-5565
(724) 468-8336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410636L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042405450001
—
PA
01
—
2082625
PK
—
Enumeration date
11/03/2006
Last updated
11/07/2023
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