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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 | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI Number | 1962021691 |
| LBN Legal business name | CENTRAL CARE, PA |
| Authorized official | CANDICE EVANS - (CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/13/2020 |
| Last updated | 04/02/2024 - About 2 years ago |
| Identifiers | n/a |
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CENTRAL CARE, PA
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CENTRAL CARE, PA