10D2088458 CLIA NUMBER - PUBLIX PHARMACY #1424

Laboratory Demographics

CLIA Number: 10D2088458

Facility Name: PUBLIX PHARMACY #1424

Facility Address:
4770 N CONGRESS AVE
BOYNTON BEACH, FL
ZIP 33426
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Facility Phone Number: 561 969-6645

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1699714642

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 10D2088458
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1424
Street 4770 N CONGRESS AVE
City BOYNTON BEACH
State FL
ZIP 33426
Phone 561 969-6645
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