Organization
PILLS POTIONS & LOTIONS
Active
Other names
Crosstown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDELL BANCROFT MORRISON (OWNER)
(772) 301-1095
Entity
Organization
Contact information
Practice address
8701 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3333
(772) 301-1095
Mailing address
8701 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3333
(772) 301-1095
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH31413
FL
3336L0003X
Long Term Care Pharmacy
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Other
Enumeration date
05/15/2018
Last updated
04/30/2020
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