Organization
CROSSROADS HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALMA DEATON REDDING PHARM. D. (OWNER/PIC)
(706) 577-5676
Entity
Organization
Contact information
Practice address
867 LEE ROAD 248, SMITHS STATION, AL 36877-3295
(334) 291-5328
Mailing address
PO BOX 189, SALEM, AL 36874-0189
(706) 577-5676
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114769
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114769
ALABAMA PHARMACY LICENSE
AL
Enumeration date
12/12/2017
Last updated
12/12/2017
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