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 | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1205155744 |
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| LBN Legal business name | CCC PHARMACY, LLC | ||||||||
| Authorized official | KEVIN ROBICHAUX - (MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 05/24/2010 | ||||||||
| Last updated | 08/09/2016 - About 10 years ago | ||||||||
| Identifiers |
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