05D2147909 CLIA NUMBER - MANISH SOMANI INC DBA AUBURN PHARMACY & COMPOUNDING CENTER

Laboratory Demographics

CLIA Number: 05D2147909

Facility Name: MANISH SOMANI INC DBA AUBURN PHARMACY & COMPOUNDING CENTER

Facility Address:
5645 AUBURN ST, STE B
BAKERSFIELD, CA
ZIP 93306
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Facility Phone Number: 661 871-8881

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578918199

Taxonomy: 1835P0018X - Pharmacist
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

CLIA Record

Field Name	Field Value
CLIA Number	05D2147909
LAB Type	Pharmacy
Facility Name	MANISH SOMANI INC DBA AUBURN PHARMACY & COMPOUNDING CENTER
Street	5645 AUBURN ST, STE B
City	BAKERSFIELD
State	CA
ZIP	93306
Phone	661 871-8881
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024