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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 | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1295740835 |
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| LBN Legal business name | GLOUCESTER MATHEWS CARE CLINIC | ||||||||
| Authorized official | KERRY DANACEAU - (PIC) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/30/2006 | ||||||||
| Last updated | 09/19/2025 - About 9 months ago | ||||||||
| Identifiers |
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