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10D2088415 CLIA NUMBER - PUBLIX PHARMACY #1221

Laboratory Demographics

CLIA Number: 10D2088415

Facility Name: PUBLIX PHARMACY #1221

Facility Address:
8780 BOYNTON BEACH BLVD
BOYNTON BEACH, FL
ZIP 33472
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Facility Phone Number: 561 369-4805

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1427203546

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 10D2088415
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1221
Street 8780 BOYNTON BEACH BLVD
City BOYNTON BEACH
State FL
ZIP 33472
Phone 561 369-4805
CertificateType 4
CertificateEffectiveDate 12/15/2022
CertificateExpirationDate 12/14/2024
FacilityType Waiver

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