A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist | |
Specialty Pharmacy |
3336S0011X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1033521109 |
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| LBN Legal business name | WHITE DRUG ENTERPRISES INC | ||||||||||||
| Authorized official | ANNE FROISTAD - (LICENSING COORDINATOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/23/2014 | ||||||||||||
| Last updated | 10/29/2024 - More than a year ago | ||||||||||||
| Identifiers |
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