Crossroads Pharmacy

LBN: Crossroads Pharmacy
Crossroads Pharmacy is an health care organization with primary practice located at 3123 Plateau Rd , Newton NC 28658-8900. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crossroads Pharmacy can be contacted via phone (704) 276-1078, or through Long, William via phone (704) 276-1078.

Contact Information

Primary practice address
3123 Plateau Rd Newton NC 28658-8900
Phone: (704) 276-1078
Fax: (704) 276-1079
Website:
Map and Directions
Authorized official contact:
Name: Long, William RPH
Phone: (704) 276-1078

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 08174 North Carolina

Profile Details

NPI number 1104961739
LBN Legal business name Crossroads Pharmacy
DBA Doing business as Crossroads Pharmacy
Authorized official Long, William RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated May 20th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104961739 NPPES
Other 2069498 PK
MEDICAID 0186215 PK

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