05D2057149 CLIA NUMBER - Vons Pharmacy #1753

Laboratory Demographics

CLIA Number: 05D2057149

Facility Name: Vons Pharmacy #1753

Facility Address:
1190 N Main St,
Bishop, CA
ZIP 93514
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Facility Phone Number: (760) 872-8114

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1851320881

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 05D2057149
LAB Type PHARMACY
Facility Name Vons Pharmacy #1753
Street 1190 N Main St,
City Bishop
State CA
ZIP 93514
Phone 7608728114

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