10D2012226 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2012226

Facility Name: WALGREEN CO

Facility Address:
11079 S MILITARY TRL
BOYNTON BEACH, FL
ZIP 33436
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Facility Phone Number: (561) 736-2998

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1609883685

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2012226
LAB Type	PHARMACY
Facility Name	WALGREEN CO
Street	11079 S MILITARY TRL
City	BOYNTON BEACH
State	FL
ZIP	33436
Phone	(561) 736-2998

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