in - Community/retail Pharmacy

- NPI 1073663431

is a Community/retail Pharmacy in , . practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for is 1073663431. The last update date is .

's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!

Provider Profile Detail

Provider Name
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1073663431
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PHY39485
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PHA 394850 CA --
2077836 PK

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