05D2058086 CLIA NUMBER - Pavilions Pharmacy 2229

Laboratory Demographics

CLIA Number: 05D2058086

Facility Name: Pavilions Pharmacy 2229

Facility Address:
727 N Vine St,
Los Angeles, CA
ZIP 90038
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Facility Phone Number: (323) 466-7158

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1184660797

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 05D2058086
Facility Name Pavilions Pharmacy 2229
Street 727 N Vine St,
City Los Angeles
State CA
ZIP 90038
Phone 3234667158

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