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A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1194837179 |
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| LBN Legal business name | PHARMACY SERVICES DIVIRSIFIED INC | ||||||||
| Authorized official | JODI SILVIO - (OWNER/PHARMACIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/31/2006 | ||||||||
| Last updated | 03/07/2023 - About 3 years ago | ||||||||
| Identifiers |
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PHARMACY SERVICES DIVIRSIFIED INC