National Provider Identifier Database

AG HOLLEY STATE HOSPITAL
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.


Contact Information

A.G. HOLLEY STATE HOSPITAL
1199 LANTANA RD
LANTANA, FL33462-1514
Phone: 561-540-3721
Fax: 561-545-0372
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for A.G. HOLLEY STATE HOSPITAL

NPI Number 1295811032
Legal business name
LBN
A.G. HOLLEY STATE HOSPITAL
Authorized official JERRY STAMBAUGH - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 10/27/2006
Last updated 06/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH0016562
  • FL Medicaid: 0215171-00

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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