01D2099740 CLIA NUMBER - EMERGING HOME CARE PHARMACY

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Laboratory Demographics

CLIA Number: 01D2099740

Facility Name: EMERGING HOME CARE PHARMACY

Facility Address:
3868 HIGHWAY 431
ROANOKE, AL
ZIP 36274
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Facility Phone Number: 334 863-7511

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184731192

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	01D2099740
LAB Type	Pharmacy
Facility Name	EMERGING HOME CARE PHARMACY
Street	3868 HIGHWAY 431
City	ROANOKE
State	AL
ZIP	36274
Phone	334 863-7511
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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