Organization
CROSSROADS PHARMACY SERVICES LLC
Active
Other names
CROSSROADS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL DUCK (MANAGER)
(318) 539-3199
Entity
Organization
Contact information
Practice address
3592 HIGHWAY 28 E, PINEVILLE, LA 71360-5816
(318) 443-3100
(318) 443-3635
Mailing address
27 REYNOLDS STREET, SPRINGHILL, LA 71075
(318) 443-3100
(318) 443-3635
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY.007478-IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2205307
—
LA
Enumeration date
09/30/2006
Last updated
03/31/2022
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