| Crossroads Apothecary, LLC. | |
|
4801 Dorsey Hall Dr Ste 210 Ellicott City MD 21042-7749 | |
| (410) 992-4747 | |
| Not Available |
| Full Name | Crossroads Apothecary, LLC. |
|---|---|
| Speciality | Clinic/center |
| Location | 4801 Dorsey Hall Dr Ste 210, Ellicott City, Maryland |
| Authorized Official Name and Position | Warren M Ross (OWNER) |
| Authorized Official Contact | 4109924747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Apothecary, LLC. 4801 Dorsey Hall Dr Ste 210 Ellicott City MD 21042-7749 Ph: (410) 992-4747 | Crossroads Apothecary, LLC. 4801 Dorsey Hall Dr Ste 210 Ellicott City MD 21042-7749 Ph: (410) 992-4747 |
| NPI Number | 1700546785 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700546785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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