| NPI | 1730553132 |
|---|---|
| Doing Business As | CROSSROADS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRASAD MATTUPALLI Pharmacist 443-528-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |