05D2056224 CLIA NUMBER - Vons Pharmacy # 3519

Laboratory Demographics

CLIA Number: 05D2056224

Facility Name: Vons Pharmacy # 3519

Facility Address:
4550 Atlantic Ave.,
Long Beach, CA
ZIP 90807
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Facility Phone Number: (562) 984-1428

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1922037951

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 05D2056224
Facility Name Vons Pharmacy # 3519
Street 4550 Atlantic Ave.,
City Long Beach
State CA
ZIP 90807
Phone 5629841428

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This page was last updated on: 5/19/2019