05D2058107 CLIA NUMBER - Vons Pharmacy # 2262

Laboratory Demographics

CLIA Number: 05D2058107

Facility Name: Vons Pharmacy # 2262

Facility Address:
710 Broadway,
Santa Monica, CA
ZIP 90401
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Facility Phone Number: (310) 260-0263

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1639108640

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 05D2058107
Facility Name Vons Pharmacy # 2262
Street 710 Broadway,
City Santa Monica
State CA
ZIP 90401
Phone 3102600263

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