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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 | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist | |
Specialty Pharmacy |
3336S0011X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1538877634 |
| LBN Legal business name | MIND 247 PRACTICE LLC |
| Authorized official | AISHA DEPRIEST - (DIRECTOR OF CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/08/2022 |
| Last updated | 11/08/2022 - About 4 years ago |
| Identifiers | n/a |
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MIND 247 PRACTICE LLC
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MIND 247 PRACTICE LLC