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...
taxonomy 3336C0003X
Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
TX license #11435taxonomy 3336C0002X
Identifiers
Type
Value
Notes
01
2096850
PK
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
SOUTHEAST PHARMACY
Type code 3recorded 2021-05-18
SOUTHEAST PHARMACY
Type code 3recorded 2012-08-27
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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