Organization
CROSSTOWN PHARMACY INC
Active
Other names
CROSSTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JAMES (OWNER)
(662) 453-5615
Entity
Organization
Contact information
Practice address
111 W PARK AVE, STE C, GREENWOOD, MS 38930-3006
(662) 453-5615
(662) 453-5616
Mailing address
111 W PARK AVE, STE C, GREENWOOD, MS 38930-3006
(662) 453-5615
(662) 453-5616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00349/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2503642
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
01/05/2010
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