01D2122933 CLIA NUMBER - PUBLIX PHARMACY #1512

Laboratory Demographics

CLIA Number: 01D2122933

Facility Name: PUBLIX PHARMACY #1512

Facility Address:
230 20TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
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Facility Phone Number: 863 688-1188

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1679958128

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name	Field Value
CLIA Number	01D2122933
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1512
Street	230 20TH STREET SOUTH
City	BIRMINGHAM
State	AL
ZIP	35233
Phone	863 688-1188
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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