01D2174247 CLIA NUMBER - VILLAGE DRUG COMPANY, LLC

Laboratory Demographics

CLIA Number: 01D2174247

Facility Name: VILLAGE DRUG COMPANY, LLC

Facility Address:
300 CARLOW LANE SUITE 116
BIRMINGHAM, AL
ZIP 35242
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Facility Phone Number: 205 713-8393

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073170775

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	01D2174247
LAB Type	Pharmacy
Facility Name	VILLAGE DRUG COMPANY, LLC
Street	300 CARLOW LANE SUITE 116
City	BIRMINGHAM
State	AL
ZIP	35242
Phone	205 713-8393
CertificateType	4
CertificateEffectiveDate	10/29/2023
CertificateExpirationDate	10/28/2025
FacilityType	Waiver

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