10D2039235 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2039235

Facility Name: WALGREEN CO

Facility Address:
5995 W MOBILE HWY
PENSACOLA, FL
ZIP 32526
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Facility Phone Number: 850 454-0254

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619099280

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	10D2039235
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	5995 W MOBILE HWY
City	PENSACOLA
State	FL
ZIP	32526
Phone	850 454-0254
CertificateType	4
CertificateEffectiveDate	6/3/2023
CertificateExpirationDate	6/2/2025
FacilityType	Waiver

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