05D2188235 CLIA NUMBER - PAX PHARMACY

Laboratory Demographics

CLIA Number: 05D2188235

Facility Name: PAX PHARMACY

Facility Address:
931 BUENA VISTA STREET SUITE 104
DUARTE, CA
ZIP 91010
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Facility Phone Number: 626 357-8500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942605316

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	05D2188235
LAB Type	Pharmacy
Facility Name	PAX PHARMACY
Street	931 BUENA VISTA STREET SUITE 104
City	DUARTE
State	CA
ZIP	91010
Phone	626 357-8500
CertificateType	4
CertificateEffectiveDate	7/14/2022
CertificateExpirationDate	7/13/2024
FacilityType	Waiver

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