Provider Demographics
NPI:1053916197
Name:CROSSIN, SOPHIA ANNETTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:ANNETTE
Last Name:CROSSIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 W STREET RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3219
Mailing Address - Country:US
Mailing Address - Phone:215-674-2297
Mailing Address - Fax:215-674-9661
Practice Address - Street 1:445 W STREET RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3219
Practice Address - Country:US
Practice Address - Phone:215-674-2297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444733L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist