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 # | 1790790301 |
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| LBN Legal business name | WILLIAMS DRUGS, INC | ||||||||||||||||
| Authorized official | DENISE RICKLEFS - (PHARMACIST IN CHARGE) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 07/30/2006 | ||||||||||||||||
| Last updated | 12/20/2010 - About 15 years ago | ||||||||||||||||
| Identifiers |
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