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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 # | 1881669745 |
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| LBN Legal business name | WILDERNS DRUG STORE | ||||||||||||
| Authorized official | JEFFREY WILDERN - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 02/22/2006 | ||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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WILDERNS DRUG STORE
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WILDERNS DRUG STORE