Organization
CROSS ROAD HEALTH MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WILLIAM GALLAGHER (CEO)
(907) 822-5686
Entity
Organization
Contact information
Practice address
MILE 187 GLENN HWY, GLENNALLEN, AK 99588
(907) 822-3336
(907) 822-5376
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3336
(907) 822-5376
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
115647
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028514
—
AK
01
—
1996720
PK
—
Enumeration date
10/19/2006
Last updated
03/29/2021
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