01D2188322 CLIA NUMBER - GILMER DRUG COMPANY INC

Laboratory Demographics

CLIA Number: 01D2188322

Facility Name: GILMER DRUG COMPANY INC

Facility Address:
413 19TH ST ENSLEY
BIRMINGHAM, AL
ZIP 35218
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Facility Phone Number: 205 787-4671

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093866030

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	01D2188322
LAB Type	Pharmacy
Facility Name	GILMER DRUG COMPANY INC
Street	413 19TH ST ENSLEY
City	BIRMINGHAM
State	AL
ZIP	35218
Phone	205 787-4671
CertificateType	4
CertificateEffectiveDate	7/15/2022
CertificateExpirationDate	7/14/2024
FacilityType	Waiver

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