10D0958215 CLIA NUMBER - PUBLIX PHARMACY #1036

Laboratory Demographics

CLIA Number: 10D0958215

Facility Name: PUBLIX PHARMACY #1036

Facility Address:
1405 S FEDERAL HWY
POMPANO BEACH, FL
ZIP 33062
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Facility Phone Number: 954 784-3872

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689758492

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	10D0958215
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1036
Street	1405 S FEDERAL HWY
City	POMPANO BEACH
State	FL
ZIP	33062
Phone	954 784-3872
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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