NPI 1043788417
Cross Roads Pharmacy INC
Practice location
- Address
- 700 E Jersey St, Elizabeth, NJ 07201
- Phone
- (908) 354-2060
- Fax
- (908) 354-1434
- Mailing address
- 700 E Jersey St, Elizabeth, NJ 07201-2815
Authorised official
- Name
- Praveen R Thakkelapally
- Title
- Owner
- Phone
- (908) 354-2060
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1043788417
- Entity type
- Organization
- NPI issued
- 5 Nov 2018
- Record last updated
- 5 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.