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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 | 1790148617 |
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| LBN Legal business name | KMART 4062 | ||||
| Authorized official | DANNY STEVENS - (PHARMACY MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/29/2016 | ||||
| Last updated | 03/29/2016 - About 10 years ago | ||||
| Identifiers |
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KMART 4062
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KMART 4062