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A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialty Pharmacy |
3336S0011X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Mail Order Pharmacy |
3336M0002X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1225800733 |
| LBN Legal business name | MAIN STREET PHARMACY |
| Authorized official | JAMES BRYCE - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/27/2023 |
| Last updated | 10/27/2023 - About 3 years ago |
| Identifiers | n/a |
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MAIN STREET PHARMACY
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