Crossroads Family Pharmacy

LBN: Djtr Holdings Inc
Crossroads Family Pharmacy is an health care organization with primary practice located at 7838 Highway 48 , Menlo GA 30731-6337. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Djtr Holdings Inc can be contacted via phone (706) 862-2064, or through Moody, Beverly Ann via phone (229) 435-4571.

Contact Information

Primary practice address
7838 Highway 48 Menlo GA 30731-6337
Phone: (706) 862-2064
Fax: (706) 862-2477
Website:
Map and Directions
Authorized official contact:
Name: Moody, Beverly Ann
Phone: (229) 435-4571

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009872 Georgia

Profile Details

NPI number 1932450293
LBN Legal business name Djtr Holdings Inc
DBA Doing business as Crossroads Family Pharmacy
Authorized official Moody, Beverly Ann
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2012
Last updated Mar 29th, 2024 - about 2 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 1932450293 NPPES
Other 2137023 PK
MEDICAID 003128088A PK
MEDICAID 143107 PK

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