Crossroads Apothecary, Llc. | |
4801 Dorsey Hall Dr Ste 210 Ellicott City MD 21042-7749 | |
(410) 992-4747 | |
Not Available |
Full Name | Crossroads Apothecary, Llc. |
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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 |
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Provider Enumeration Date | 12/17/2021 |
Last Update Date | 12/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700546785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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