01D2188114 CLIA NUMBER - HERITAGE PHARMACY

Laboratory Demographics

CLIA Number: 01D2188114

Facility Name: HERITAGE PHARMACY

Facility Address:
1701 MAIN AVE, SW, SUITE C
CULLMAN, AL
ZIP 35055
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Facility Phone Number: (256) 737-3773

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1124189949

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	01D2188114
LAB Type	PHARMACY
Facility Name	HERITAGE PHARMACY
Street	1701 MAIN AVE, SW, SUITE C
City	CULLMAN
State	AL
ZIP	35055
Phone	(256) 737-3773

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This page was last updated on: 5/11/2023