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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 | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Health Maintenance Organization |
302R00000X |
| NPI Number | 1174890081 |
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| LBN Legal business name | COMPREHENSIVE HEALTHCARE MANAGEMENT | ||||
| Authorized official | FARRIS GRANSBERRY - (PHARMACIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/20/2011 | ||||
| Last updated | 11/20/2011 - About 15 years ago | ||||
| Identifiers |
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COMPREHENSIVE HEALTHCARE MANAGEMENT