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 # | 1710678172 |
| LBN Legal business name | PRESCRYPTIVE PHARMACY & PATIENT SERVICES INC |
| Authorized official | AMANDA HARMON - (PHARMACY MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/17/2023 |
| Last updated | 03/05/2026 - About 3 months ago |
| Identifiers | n/a |
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