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 | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI # | 1679665483 |
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| LBN Legal business name | PENINSULA COMMUNITY HEALTH SERVICESS | ||||
| Authorized official | JENNIFER KREIDLER-MOSS - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/29/2006 | ||||
| Last updated | 05/28/2026 - About 2 weeks ago | ||||
| Identifiers |
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