05D2059176 CLIA NUMBER - Safeway Pharmacy #1631

Laboratory Demographics

CLIA Number: 05D2059176

Facility Name: Safeway Pharmacy #1631

Facility Address:
122 Robles Way,
Vallejo, CA
ZIP 94591
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Facility Phone Number: (707) 554-6908

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1326074105

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 05D2059176
Facility Name Safeway Pharmacy #1631
Street 122 Robles Way,
City Vallejo
State CA
ZIP 94591
Phone 7075546908

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