10D2088396 CLIA NUMBER - PUBLIX PHARMACY #1067

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Laboratory Demographics

CLIA Number: 10D2088396

Facility Name: PUBLIX PHARMACY #1067

Facility Address:
12425 HAGAN RANCH RD
BOYNTON BEACH, FL
ZIP 33437
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Facility Phone Number: (561) 292-4494

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1841454782

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	10D2088396
LAB Type	PHARMACY
Facility Name	PUBLIX PHARMACY #1067
Street	12425 HAGAN RANCH RD
City	BOYNTON BEACH
State	FL
ZIP	33437
Phone	(561) 292-4494

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