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 | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1700897378 |
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| LBN Legal business name | PROVIDENCE PHARMACY SVC LP | ||||||||||||
| Authorized official | RICHARD ZABINSKI - (DIRECTOR OF PHARMACY) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/10/2006 | ||||||||||||
| Last updated | 03/22/2017 - About 9 years ago | ||||||||||||
| Identifiers |
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