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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 Number | 1164297990 |
| LBN Legal business name | FORE RIVER UROLOGY LLC |
| Authorized official | MEGAN SHOREY - (PRACTICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/21/2023 |
| Last updated | 11/21/2023 - About 3 years ago |
| Identifiers | n/a |
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FORE RIVER UROLOGY LLC
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FORE RIVER UROLOGY LLC