10D2013123 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2013123

Facility Name: WALGREEN CO

Facility Address:
1515 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304
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Facility Phone Number: (954) 524-3557

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1881609998

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	10D2013123
LAB Type	PHARMACY
Facility Name	WALGREEN CO
Street	1515 E SUNRISE BLVD
City	FORT LAUDERDALE
State	FL
ZIP	33304
Phone	(954) 524-3557

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