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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 # | 1114026069 |
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| LBN Legal business name | FAMILY MEDICAL CENTER | ||||||||||||
| Authorized official | RAY ANDERSON - (PHYSICIAN OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 09/21/2006 | ||||||||||||
| Last updated | 08/12/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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FAMILY MEDICAL CENTER
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FAMILY MEDICAL CENTER