05D2056248 CLIA NUMBER - Vons Pharmacy # 2254

Laboratory Demographics

CLIA Number: 05D2056248

Facility Name: Vons Pharmacy # 2254

Facility Address:
311 Los Feliz Blvd.,
Glendale, CA
ZIP 91204
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Facility Phone Number: (818) 246-8189

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1891721676

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 05D2056248
LAB Type PHARMACY
Facility Name Vons Pharmacy # 2254
Street 311 Los Feliz Blvd.,
City Glendale
State CA
ZIP 91204
Phone 8182468189

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