A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pharmacy | 333600000X |
* Indicates primary specialty
| NPI Number | 1356018592 |
| Credentials | PHARM.D. (Doctor of Pharmacy) |
| Entity | Individual |
| Enumeration date | 08/25/2021 |
| Last updated | 03/27/2026 - About 2 months ago |
| Sole proprietor1 | No |
| 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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