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 | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1750442901 |
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| LBN Legal business name | AVERA MCKENNAN | ||||||||||||||||||||
| Authorized official | RONALD PLACE - (PRESIDENT/CEO) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 12/12/2006 | ||||||||||||||||||||
| Last updated | 10/06/2023 - About 3 years ago | ||||||||||||||||||||
| Identifiers |
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AVERA MCKENNAN
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