05D2056317 CLIA NUMBER - Pavilions Pharmacy # 2214

Laboratory Demographics

CLIA Number: 05D2056317

Facility Name: Pavilions Pharmacy # 2214

Facility Address:
1110 W. Alameda Ave.,
Burbank, CA
ZIP 91506
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Facility Phone Number: (818) 567-0086

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1831128867

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 05D2056317
Facility Name Pavilions Pharmacy # 2214
Street 1110 W. Alameda Ave.,
City Burbank
State CA
ZIP 91506
Phone 8185670086

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