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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 | |
Psychiatric Hospital |
283Q00000X | A0[7] | Hospital-Psychiatric (PPS excluded) |
| NPI # | 1679651970 |
| LBN Legal business name | EASTERN STATE HOSPITAL PHARMACY |
| Authorized official | RONDA KENNEY - (CHIEF OPERATING OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/02/2006 |
| Last updated | 10/15/2018 - About 8 years ago |
| Identifiers | n/a |
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EASTERN STATE HOSPITAL PHARMACY