Mr Cordell Cross, RPH in San Diego, CA - Pharmacist

Mr Cordell Cross, RPH is a Pharmacist based in San Diego, California. Mr Cordell Cross is licensed to practice in California (license number 30804) and his current practice location is 5504 Balboa Ave, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 268-4071.

NPI number for Mr Cordell Cross is 1114297843 and his current mailing address is Po Box 881084, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114297843.

Contact Information

	Mr Cordell Cross, RPH
	5504 Balboa Ave, San Diego, CA 92111-2704
	(858) 268-4071
	Not Available

Healthcare Provider's Profile

Full Name	Mr Cordell Cross
Gender	Male
Speciality	Pharmacist
Location	5504 Balboa Ave, San Diego, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1114297843
Provider Enumeration Date: 01/11/2012
Last Update Date: 01/11/2012

Medical Identifiers

Medical identifiers for Mr Cordell Cross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114297843	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	30804 (California)	Primary
183500000X	Pharmacist	14531 (Iowa)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Cordell Cross is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Cordell Cross, RPH Po Box 881084, San Diego, CA 92168-1084 Ph: (858) 268-4071	Mr Cordell Cross, RPH 5504 Balboa Ave, San Diego, CA 92111-2704 Ph: (858) 268-4071

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Mr Cordell Cross, RPH - Pharmacist in San Diego, CA