01D2086900 CLIA NUMBER - PUBLIX PHARMACY #1027

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Laboratory Demographics

CLIA Number: 01D2086900

Facility Name: PUBLIX PHARMACY #1027

Facility Address:
3026 ZELDA ROAD
MONTGOMERY, AL
ZIP 36106
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Facility Phone Number: 334 244-4487

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1235178294

Taxonomy: 3336C0003X - Pharmacy
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	01D2086900
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1027
Street	3026 ZELDA ROAD
City	MONTGOMERY
State	AL
ZIP	36106
Phone	334 244-4487
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024