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 #27055taxonomy 3336C0002X
Identifiers
Type
Value
Notes
01
5901005
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Premier ID Pharmacy
Type code 3recorded 2010-09-13
Practice context
Single-site organization. Only one practice location on file.
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