05D2059173 CLIA NUMBER - Safeway Pharmacy #3011

Laboratory Demographics

CLIA Number: 05D2059173

Facility Name: Safeway Pharmacy #3011

Facility Address:
389 S Mcdowell Blvd,
Petaluma, CA
ZIP 94952
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Facility Phone Number: (707) 766-9477

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1962448571

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 05D2059173
Facility Name Safeway Pharmacy #3011
Street 389 S Mcdowell Blvd,
City Petaluma
State CA
ZIP 94952
Phone 7077669477

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