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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 | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Specialty Pharmacy |
3336S0011X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1477955037 |
| LBN Legal business name | JACKSON VILLAGE PHARMACY LLC |
| Authorized official | GABRIEL OUELLETTE - (MANAGER / OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/25/2014 |
| Last updated | 02/12/2026 - About 4 months ago |
| Identifiers | n/a |
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JACKSON VILLAGE PHARMACY LLC