A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Community/Retail Pharmacy | 3336C0003X |
* Indicates primary specialty
| NPI Number | 1205642592 |
| Credentials | |
| Entity | Individual |
| Enumeration date | 12/10/2024 |
| Last updated | 07/22/2025 - About 11 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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