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 | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Pharmacist |
183500000X |
| NPI Number | 1336124593 |
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| LBN Legal business name | 21ST AVE PHARMACY INC. | ||||||||||||||||
| Authorized official | ANTONIO RODRIGUEZ - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 12/09/2005 | ||||||||||||||||
| Last updated | 02/19/2009 - About 17 years ago | ||||||||||||||||
| Identifiers |
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