| NPI | 1821511064 |
|---|---|
| Doing Business As | CROSS ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN WILLIAM GALLAGHER CEO 907-822-5686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-03-29 |