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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 # | 1518184613 |
| LBN Legal business name | PARK DUVALLE COMMUNITY HEALTH CENTER, INC |
| Authorized official | SWANNIE JETT - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/19/2007 |
| Last updated | 11/02/2021 - About 5 years ago |
| Identifiers | n/a |
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PARK DUVALLE COMMUNITY HEALTH CENTER, INC