05D2058071 CLIA NUMBER - Safeway Pharmacy #1258

Laboratory Demographics

CLIA Number: 05D2058071

Facility Name: Safeway Pharmacy #1258

Facility Address:
1235 Stratford Ave,
Dixon, CA
ZIP 95620
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Facility Phone Number: (707) 678-7402

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1588600357

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 05D2058071
LAB Type PHARMACY
Facility Name Safeway Pharmacy #1258
Street 1235 Stratford Ave,
City Dixon
State CA
ZIP 95620
Phone 7076787402

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