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 | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1972037372 |
| LBN Legal business name | CARENATION, LLC |
| Authorized official | MICHAEL GAW - (FOUNDER/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/12/2017 |
| Last updated | 04/12/2017 - About 9 years ago |
| Identifiers | n/a |
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CARENATION, LLC
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