05D2056298 CLIA NUMBER - Vons Pharmacy # 2355

Laboratory Demographics

CLIA Number: 05D2056298

Facility Name: Vons Pharmacy # 2355

Facility Address:
4145 30th St.,
San Diego, CA
ZIP 92104
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Facility Phone Number: (619) 284-3582

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1407885452

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 05D2056298
LAB Type PHARMACY
Facility Name Vons Pharmacy # 2355
Street 4145 30th St.,
City San Diego
State CA
ZIP 92104
Phone 6192843582

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