NPI | 1508356536 |
---|---|
Doing Business As | CROSSTOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | LYDELL BANCROFT MORRISON Owner 772-301-1095 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31413) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2018-05-15 |
Last Update Date | 2020-04-30 |