A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1104762590 |
| Entity | Organization |
| Organization subpart 1 | Not specified |
| Enumeration date | 04/27/2026 |
| Last updated | 04/27/2026 - About a month ago |
| Identifiers | n/a |
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