10D2088430 CLIA NUMBER - PUBLIX PHARMACY #1342

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Laboratory Demographics

CLIA Number: 10D2088430

Facility Name: PUBLIX PHARMACY #1342

Facility Address:
1101 8TH AVE WEST
PALMETTO, FL
ZIP 34221
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Facility Phone Number: 941 721-8681

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225282429

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	10D2088430
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1342
Street	1101 8TH AVE WEST
City	PALMETTO
State	FL
ZIP	34221
Phone	941 721-8681
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