01D2165971 CLIA NUMBER - CITY DRUG

Laboratory Demographics

CLIA Number: 01D2165971

Facility Name: CITY DRUG

Facility Address:
11 DEXTER AVE
MONTGOMERY, AL
ZIP 36104
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Facility Phone Number: 334 263-6144

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689163321

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	01D2165971
LAB Type	Pharmacy
Facility Name	CITY DRUG
Street	11 DEXTER AVE
City	MONTGOMERY
State	AL
ZIP	36104
Phone	334 263-6144
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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