05D2056224 CLIA NUMBER - VONS PHARMACY # 3519

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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
LAB Type	PHARMACY
Facility Name	VONS PHARMACY # 3519
Street	4550 ATLANTIC AVE.
City	LONG BEACH
State	CA
ZIP	90807
Phone	(562) 984-1428

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