Provider Demographics
NPI:1194200550
Name:CROSS SERVICES, INC
Entity Type:Organization
Organization Name:CROSS SERVICES, INC
Other - Org Name:MUHLENBERG COUNTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-757-2557
Mailing Address - Street 1:501 PARADISE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42345-1725
Mailing Address - Country:US
Mailing Address - Phone:270-977-7893
Mailing Address - Fax:
Practice Address - Street 1:1603 WEST EVERLY BROTHERS BLVD
Practice Address - Street 2:SUITE 2D
Practice Address - City:CENTRAL CITY
Practice Address - State:KY
Practice Address - Zip Code:42330
Practice Address - Country:US
Practice Address - Phone:270-757-2557
Practice Address - Fax:270-757-2558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy