05D2059199 CLIA NUMBER - SAFEWAY PHARMACY #761

Laboratory Demographics

CLIA Number: 05D2059199

Facility Name: SAFEWAY PHARMACY #761

Facility Address:
1212 FOREST AVE
PACIFIC GROVE, CA
ZIP 93950
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Facility Phone Number: (831) 375-3019

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1235175837

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 05D2059199
LAB Type PHARMACY
Facility Name SAFEWAY PHARMACY #761
Street 1212 FOREST AVE
City PACIFIC GROVE
State CA
ZIP 93950
Phone (831) 375-3019

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This page was last updated on: 5/11/2023