05D2058087 CLIA NUMBER - Vons Pharmacy # 2091

Laboratory Demographics

CLIA Number: 05D2058087

Facility Name: Vons Pharmacy # 2091

Facility Address:
32401 Camino Capistrano,
San Juan Capistrano, CA
ZIP 92675
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Facility Phone Number: (949) 661-3492

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1326084922

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 05D2058087
LAB Type PHARMACY
Facility Name Vons Pharmacy # 2091
Street 32401 Camino Capistrano,
City San Juan Capistrano
State CA
ZIP 92675
Phone 9496613492

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