05D2057145 CLIA NUMBER - Vons Pharmacy #2162

Laboratory Demographics

CLIA Number: 05D2057145

Facility Name: Vons Pharmacy #2162

Facility Address:
1440 W 25th St,
San Pedro, CA
ZIP 90732
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Facility Phone Number: (310) 832-0319

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1487683413

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 05D2057145
LAB Type PHARMACY
Facility Name Vons Pharmacy #2162
Street 1440 W 25th St,
City San Pedro
State CA
ZIP 90732
Phone 3108320319

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