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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 | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1417448945 |
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| LBN Legal business name | 1400 ST NICHOLAS LLC | ||||
| Authorized official | MARIA FAVALE - (SUPERVISING PHARMACIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/21/2018 | ||||
| Last updated | 12/18/2023 - About 2 years ago | ||||
| Identifiers |
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1400 ST NICHOLAS LLC