Provider Demographics
NPI:1588070205
Name:CROSS, CAROL LANKFORD (RPH)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LANKFORD
Last Name:CROSS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-6356
Mailing Address - Country:US
Mailing Address - Phone:336-474-2264
Mailing Address - Fax:336-474-2267
Practice Address - Street 1:1585 LIBERTY DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-6356
Practice Address - Country:US
Practice Address - Phone:336-474-2264
Practice Address - Fax:336-474-2267
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist