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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 |
| NPI # | 1497602155 |
| LBN Legal business name | ELK RIDGE GRAND CANYON PHARMACY |
| Authorized official | MELVA GONZALEZ - (PHARMACY COOORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/12/2026 |
| Last updated | 05/26/2026 - About 2 weeks ago |
| Identifiers | n/a |
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ELK RIDGE GRAND CANYON PHARMACY
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ELK RIDGE GRAND CANYON PHARMACY