10D2088319 CLIA NUMBER - PUBLIX PHARMACY #0484

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Laboratory Demographics

CLIA Number: 10D2088319

Facility Name: PUBLIX PHARMACY #0484

Facility Address:
6627 BOYNTON BEACH BLVD
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: 561 731-2070

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891735270

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	10D2088319
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #0484
Street	6627 BOYNTON BEACH BLVD
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	561 731-2070
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

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