A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1083006886 |
| LBN Legal business name | PROFESSIONAL PAIN MANAGEMENT DISPENSARY |
| Authorized official | PETER CORDA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/03/2015 |
| Last updated | 03/03/2015 - About 11 years ago |
| Identifiers | n/a |
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