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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 # | 1710359252 |
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| LBN Legal business name | AVERA QUEEN OF PEACE | ||||||||
| Authorized official | DOUGLAS EKEREN - (PRESIDENT/CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/23/2015 | ||||||||
| Last updated | 09/14/2020 - About 6 years ago | ||||||||
| Identifiers |
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AVERA QUEEN OF PEACE
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AVERA QUEEN OF PEACE