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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 # | 1770797805 |
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| LBN Legal business name | MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER | ||||
| Authorized official | CAROLYN CLARK - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/09/2007 | ||||
| Last updated | 03/12/2009 - About 17 years ago | ||||
| Identifiers |
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MARTIN LUTHER KINGJR-MULTI-SERVICE AMBULATORY CARE CENTER