05D2057151 CLIA NUMBER - VONS PHARMACY #1610

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Laboratory Demographics

CLIA Number: 05D2057151

Facility Name: VONS PHARMACY #1610

Facility Address:
1790 N MOORPARK RD PHARMACY STORE #1610
THOUSAND OAKS, CA
ZIP 91360
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Facility Phone Number: (805) 497-8423

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1114956141

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	05D2057151
LAB Type	PHARMACY
Facility Name	VONS PHARMACY #1610
Street	1790 N MOORPARK RD PHARMACY STORE #1610
City	THOUSAND OAKS
State	CA
ZIP	91360
Phone	(805) 497-8423

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