10D2088477 CLIA NUMBER - PUBLIX PHARMACY #0847

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Laboratory Demographics

CLIA Number: 10D2088477

Facility Name: PUBLIX PHARMACY #0847

Facility Address:
20311 GRANDE OAKS SHOPPES BLVD
ESTERO, FL
ZIP 33928
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Facility Phone Number: (239) 495-9013

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1184663130

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	10D2088477
LAB Type	PHARMACY
Facility Name	PUBLIX PHARMACY #0847
Street	20311 GRANDE OAKS SHOPPES BLVD
City	ESTERO
State	FL
ZIP	33928
Phone	(239) 495-9013

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