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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 | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI # | 1417038191 |
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| LBN Legal business name | PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH CENTER PHARMACY #10 | ||||||||
| Authorized official | JEFFREY PENDER - (DIRECTOR OF PHARMACEUTICAL SERVICES) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 10/18/2006 | ||||||||
| Last updated | 03/07/2019 - About 7 years ago | ||||||||
| Identifiers |
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