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 | |
|---|---|---|
| * | Long Term Care Pharmacy | 3336L0003X |
* Indicates primary specialty
| NPI Number | 1497567143 |
| Legal business name LBN |
MESA RIDGE, LLC |
| Authorized official | SAMUEL WILDE - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 01/21/2025 |
| Last updated | 01/21/2025 - More than a year ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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