10D2088708 CLIA NUMBER - PUBLIX PHARMACY #1344

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Laboratory Demographics

CLIA Number: 10D2088708

Facility Name: PUBLIX PHARMACY #1344

Facility Address:
4701 PARK BLVD
PINELLAS PARK, FL
ZIP 33781
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Facility Phone Number: 727 546-4890

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1699006437

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	10D2088708
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1344
Street	4701 PARK BLVD
City	PINELLAS PARK
State	FL
ZIP	33781
Phone	727 546-4890
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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