05D2056258 CLIA NUMBER - VONS PHARMACY # 2358

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Laboratory Demographics

CLIA Number: 05D2056258

Facility Name: VONS PHARMACY # 2358

Facility Address:
3610 ADAMS AVE.
SAN DIEGO, CA
ZIP 92116
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Facility Phone Number: (619) 280-5514

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1316976368

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	05D2056258
LAB Type	PHARMACY
Facility Name	VONS PHARMACY # 2358
Street	3610 ADAMS AVE.
City	SAN DIEGO
State	CA
ZIP	92116
Phone	(619) 280-5514

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