10D2088403 CLIA NUMBER - PUBLIX PHARMACY #1004

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Laboratory Demographics

CLIA Number: 10D2088403

Facility Name: PUBLIX PHARMACY #1004

Facility Address:
7310 WEST MANATEE AVE
BRADENTON, FL
ZIP 34209
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Facility Phone Number: (941) 792-6295

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1942240387

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	10D2088403
LAB Type	PHARMACY
Facility Name	PUBLIX PHARMACY #1004
Street	7310 WEST MANATEE AVE
City	BRADENTON
State	FL
ZIP	34209
Phone	(941) 792-6295

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