10D2088865 CLIA NUMBER - PUBLIX PHARMACY #0766

Laboratory Demographics

CLIA Number: 10D2088865

Facility Name: PUBLIX PHARMACY #0766

Facility Address:
251 MIRACLE STRIP PKWY SE
FORT WALTON BEACH, FL
ZIP 32549
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Facility Phone Number: (850) 796-1937

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1215976089

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 10D2088865
LAB Type PHARMACY
Facility Name PUBLIX PHARMACY #0766
Street 251 MIRACLE STRIP PKWY SE
City FORT WALTON BEACH
State FL
ZIP 32549
Phone (850) 796-1937

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