10D2040046 CLIA NUMBER - WALGREEN CO

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Laboratory Demographics

CLIA Number: 10D2040046

Facility Name: WALGREEN CO

Facility Address:
4497 MOBILE HWY
PENSACOLA, FL
ZIP 32506
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Facility Phone Number: 850 453-4848

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1730357005

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	10D2040046
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	4497 MOBILE HWY
City	PENSACOLA
State	FL
ZIP	32506
Phone	850 453-4848
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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