05D2057157 CLIA NUMBER - Vons Pharmacy #2560

Laboratory Demographics

CLIA Number: 05D2057157

Facility Name: Vons Pharmacy #2560

Facility Address:
1758 W Grand Ave,
Grover Beach, CA
ZIP 93433
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Facility Phone Number: (805) 481-2492

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1548299563

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 05D2057157
Facility Name Vons Pharmacy #2560
Street 1758 W Grand Ave,
City Grover Beach
State CA
ZIP 93433
Phone 8054812492

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