| NPI | 1700979143 |
|---|---|
| Doing Business As | CROSSROADS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES DANIEL DUCK Manager 318-539-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007478-IR) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2022-03-31 |