10D2088436 CLIA NUMBER - PUBLIX PHARMACY #1289

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Laboratory Demographics

CLIA Number: 10D2088436

Facility Name: PUBLIX PHARMACY #1289

Facility Address:
3035 SE MARICAMP RD
OCALA, FL
ZIP 34471
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Facility Phone Number: 352 351-2374

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952685257

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	10D2088436
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1289
Street	3035 SE MARICAMP RD
City	OCALA
State	FL
ZIP	34471
Phone	352 351-2374
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