10D2088386 CLIA NUMBER - PUBLIX PHARMACY #0604

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Laboratory Demographics

CLIA Number: 10D2088386

Facility Name: PUBLIX PHARMACY #0604

Facility Address:
24600 S TAMIAMI TRL STE 300
BONITA SPRINGS, FL
ZIP 34134
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Facility Phone Number: (239) 498-6288

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1922444272

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	10D2088386
LAB Type	PHARMACY
Facility Name	PUBLIX PHARMACY #0604
Street	24600 S TAMIAMI TRL STE 300
City	BONITA SPRINGS
State	FL
ZIP	34134
Phone	(239) 498-6288

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