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 # | 1962501726 |
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| LBN Legal business name | TAMELA L MARCA CHARBONNET MD/LEE H GRAFTON MD | ||||||||||||||||||||
| Authorized official | ANN BOURGEDIS - (OFFICE MANAGER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 09/21/2006 | ||||||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||||||
| Identifiers |
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