Crossroads Pharmacy

LBN: Crossroads Health Services
Crossroads Pharmacy is an health care organization with primary practice located at 4801 Dorsey Hall Dr Ste 120 , Ellicott City MD 21042-7703. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crossroads Health Services can be contacted via phone (410) 203-1108, or through Mattupalli, Prasad via phone (443) 528-1010.

Contact Information

Primary practice address
4801 Dorsey Hall Dr Ste 120 Ellicott City MD 21042-7703
Phone: (410) 203-1108
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mattupalli, Prasad
Phone: (443) 528-1010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1730553132
LBN Legal business name Crossroads Health Services
DBA Doing business as Crossroads Pharmacy
Authorized official Mattupalli, Prasad
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2015
Last updated Nov 23rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730553132 NPPES
Other 2155361 PK

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