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 | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Health Service |
261QH0100X | |||
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | |||
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1265099600 |
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| LBN Legal business name | ISIDRO II INC | ||||||||||||||||||||
| Authorized official | MARIA YOUNG - (PRESIDENT) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||
| Enumeration date | 05/21/2019 | ||||||||||||||||||||
| Last updated | 06/01/2022 - About 4 years ago | ||||||||||||||||||||
| Identifiers |
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ISIDRO II INC
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