| NPI | 1710084645 |
|---|---|
| Doing Business As | CROSS LANES FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRAC BROWN Pharmacist Sole Owner 304-204-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552317) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-02-20 |