Organization
CROSSROADS FAMILY PHARMACY INC
Active
Other names
Crossroads Family Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GODWIN (PRESIDENT)
(252) 443-7700
Entity
Organization
Contact information
Practice address
3635 N HALIFAX RD, ROCKY MOUNT, NC 27804-8255
(252) 443-7700
(252) 443-7727
Mailing address
3635 N HALIFAX RD, ROCKY MOUNT, NC 27804-8255
(252) 443-7700
(252) 443-7727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137534
PK
—
Enumeration date
10/23/2012
Last updated
12/23/2013
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