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 | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1386152858 |
| LBN Legal business name | SIDON LLC |
| Authorized official | ABDOLLAH REDA - (OWNER / PHARMACIST IN CHARGE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/17/2018 |
| Last updated | 12/07/2020 - About 5 years ago |
| Identifiers | n/a |
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