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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 | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1548520422 |
| LBN Legal business name | JENCARE NEIGHBORHOOD MEDICAL HULL ST, LLC |
| Authorized official | MARY CHEN - (AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/24/2012 |
| Last updated | 02/20/2025 - More than a year ago |
| Identifiers | n/a |
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JENCARE NEIGHBORHOOD MEDICAL HULL ST, LLC