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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 | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI # | 1659192367 |
| LBN Legal business name | COMMONWEALTH PAIN ASSOCIATES PLLC |
| Authorized official | JASON LEWIS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/24/2024 |
| Last updated | 10/24/2024 - More than a year ago |
| Identifiers | n/a |
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COMMONWEALTH PAIN ASSOCIATES PLLC
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COMMONWEALTH PAIN ASSOCIATES PLLC