01D2268974 CLIA NUMBER - BEASLEY'S PHARMACY

Laboratory Demographics

CLIA Number: 01D2268974

Facility Name: BEASLEY'S PHARMACY

Facility Address:
170 5TH STREET SW
VERNON, AL
ZIP 35592
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Facility Phone Number: 205 695-0144

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1073057535

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	01D2268974
LAB Type	Pharmacy
Facility Name	BEASLEY'S PHARMACY
Street	170 5TH STREET SW
City	VERNON
State	AL
ZIP	35592
Phone	205 695-0144
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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