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05D2220117 CLIA NUMBER - WOODLAND CARE PHARMACY AND MEDICAL SUPPLY LLC

Laboratory Demographics

CLIA Number: 05D2220117

Facility Name: WOODLAND CARE PHARMACY AND MEDICAL SUPPLY LLC

Facility Address:
23 MAIN ST
WINTERS, CA
ZIP 95694
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Facility Phone Number: 530 402-1455

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1700402237

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 05D2220117
LAB Type Pharmacy
Facility Name WOODLAND CARE PHARMACY AND MEDICAL SUPPLY LLC
Street 23 MAIN ST
City WINTERS
State CA
ZIP 95694
Phone 530 402-1455
CertificateType 4
CertificateEffectiveDate 4/9/2023
CertificateExpirationDate 4/8/2025
FacilityType Waiver

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