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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 | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1750786356 |
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| LBN Legal business name | LATAH COMMUNITY HEALTH PHARMACY | ||||||||||||||||
| Authorized official | AARON WILSON - (CEO) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 10/27/2014 | ||||||||||||||||
| Last updated | 01/05/2026 - About 5 months ago | ||||||||||||||||
| Identifiers |
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LATAH COMMUNITY HEALTH PHARMACY
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LATAH COMMUNITY HEALTH PHARMACY