A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI Number | 1043657638 |
| LBN Legal business name | AFC OF AVONDALE, PLLC |
| Authorized official | JENNIFER HILL - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/23/2013 |
| Last updated | 11/26/2013 - About 13 years ago |
| Identifiers | n/a |
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AFC OF AVONDALE, PLLC
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