National Provider Identifier Database

45 MDSS PATRICK AFB
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

45 MDSS PATRICK AFB
1381 S. PATRICK DR.
45 MDSS
PATRICK AFB, FL32925-3405
Phone: 321-494-8991
Fax:
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for 45 MDSS PATRICK AFB

NPI Number 1467606384
Legal business name
LBN
45 MDSS PATRICK AFB
Authorized official JESSICA PABON - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 11/05/2008
Last updated 09/12/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: BW6120656

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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