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 | |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | |||
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy Technician |
183700000X |
| NPI Number | 1548887771 |
| LBN Legal business name | BROKEN OAK LLC |
| Authorized official | APRIL RUSSELL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/03/2020 |
| Last updated | 07/03/2020 - About 6 years ago |
| Identifiers | n/a |
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