Crossroads Pharmacy Inc

LBN: Crossroads Pharmacy Inc
Crossroads Pharmacy Inc is an health care organization with primary practice located at 2311 M St , Belleville KS 66935-2555. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crossroads Pharmacy Inc can be contacted via phone (785) 527-2200, or through Bombardier, Anthony via phone (785) 527-2200.

Contact Information

Primary practice address
2311 M St Belleville KS 66935-2555
Fax: (785) 527-2338
Website:
Authorized official contact:
Name: Bombardier, Anthony PHARM. D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 210137 Kansas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1841302791
LBN Legal business name Crossroads Pharmacy Inc
DBA Doing business as Crossroads Pharmacy Inc
Authorized official Bombardier, Anthony PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 6th, 2011 - about 13 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 1841302791 NPPES
Other 1716844 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100443620A NCPDP PROVIDER IDENTIFICATION NUMBER

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