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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 | Specialty Code | Provider Type | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1164081071 |
| LBN Legal business name | FOUNTAIN LAKE FAMILY PHARMACY LLC |
| Authorized official | MICHAEL BUTLER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/13/2019 |
| Last updated | 07/21/2020 - About 6 years ago |
| Identifiers | n/a |
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FOUNTAIN LAKE FAMILY PHARMACY LLC