| NPI | 1114771565 |
|---|---|
| Other Name | CROSSROADS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MELANIE OWENS Owner 865-922-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |