Organization
CROSS COUNTY PHARMACY INC
Active
Other names
CROSS COUNTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARSHAD TARIQ (SUPERVISING PHRMCST)
(212) 360-6969
Entity
Organization
Contact information
Practice address
1514 MADISON AVE, NEW YORK, NY 10029-4554
(212) 360-6969
(212) 410-2099
Mailing address
1514 MADISON AVE, NEW YORK, NY 10029-4554
(212) 360-6969
(212) 410-2099
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
018765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00927564
—
NY
01
—
3384942
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/01/2006
Last updated
11/18/2011
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