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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 | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist | |
Institutional Pharmacy |
3336I0012X | 58 | Medical Supply Company with Pharmacist | |
Long Term Care Pharmacy |
3336L0003X | 58 | Medical Supply Company with Pharmacist | |
Mail Order Pharmacy |
3336M0002X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1659441624 |
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| LBN Legal business name | LIFE SPECIALTY PHARMACY MEDICAL EQUIPMENT AND SUPPLIES INC. | ||||||||||||
| Authorized official | MICHAEL AYOTUNDE - (PRESIDENT OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 11/08/2006 | ||||||||||||
| Last updated | 06/05/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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LIFE SPECIALTY PHARMACY MEDICAL EQUIPMENT AND SUPPLIES INC.