A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pharmacy | 333600000X |
| Clinic Pharmacy | 3336C0002X | |
| Community/Retail Pharmacy | 3336C0003X | |
| Long Term Care Pharmacy | 3336L0003X |
* Indicates primary specialty
| NPI Number | 1013373679 |
| Legal business name LBN |
JEFFERSON CENTER FOR MENTAL HEALTH |
| Authorized official | ANDREW VANDER KOOI - (DIRECTOR OF PHARMACY) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 01/12/2016 |
| Last updated | 10/20/2025 - About 8 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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