Cross, Leonard Brian

Cross, Leonard Brian is an individual health care provider with primary practice located at 208 Medical Park Blvd , Bristol TN 37620. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Cross, Leonard Brian can be contacted via phone (423) 989-4050.

Contact Information

Primary practice address
208 Medical Park Blvd Bristol TN 37620
Phone: (423) 989-4050
Fax: (423) 990-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 11091 Tennessee

Profile Details

NPI number 1205835402
LBN Legal business name Cross, Leonard Brian
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 17th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205835402 NPPES
Tennessee MEDICAID Q046606

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