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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 | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Specialty Pharmacy |
3336S0011X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1477668416 |
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| LBN Legal business name | JACKSON CLINIC PHARMACY INC | ||||||||
| Authorized official | DARLENE PATTON - (PHCY DIR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/20/2006 | ||||||||
| Last updated | 06/12/2013 - About 13 years ago | ||||||||
| Identifiers |
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JACKSON CLINIC PHARMACY INC
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JACKSON CLINIC PHARMACY INC