01D2196975 CLIA NUMBER - MILLS PHARMACY AT GARDENDALE

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Laboratory Demographics

CLIA Number: 01D2196975

Facility Name: MILLS PHARMACY AT GARDENDALE

Facility Address:
439 FIELDSTOWN RD, SUITE 145
GARDENDALE, AL
ZIP 35071
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Facility Phone Number: 205 631-8989

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306218367

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	01D2196975
LAB Type	Pharmacy
Facility Name	MILLS PHARMACY AT GARDENDALE
Street	439 FIELDSTOWN RD, SUITE 145
City	GARDENDALE
State	AL
ZIP	35071
Phone	205 631-8989
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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