| NPI | 1043788417 |
|---|---|
| Doing Business As | CROSSROADS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRAVEEN R THAKKELAPALLY Owner 908-354-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |