Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1174696975 |
| LBN Legal business name | CHILDRENS MEDICAL CENTER PHARMACY |
| Authorized official | LARRY ALBAUGH - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/17/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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