is a Specialty Pharmacy in , . practices all healthcare services and medical treatments related to Specialty Pharmacy. The NPI Number for is 1619027034. 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
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619027034 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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| Phone Number | |
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Provider's Primary Taxonomy Detail
| Speciality | Specialty Pharmacy |
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| Taxonomy | 3336S0011X |
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Definition: 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 s |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 745364 | NC | -- | |
| 2069202 | PK |
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