10D2088895 CLIA NUMBER - PUBLIX PHARMACY #1005

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Laboratory Demographics

CLIA Number: 10D2088895

Facility Name: PUBLIX PHARMACY #1005

Facility Address:
23026 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL
ZIP 32413
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Facility Phone Number: 850 233-4932

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033159470

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	10D2088895
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1005
Street	23026 PANAMA CITY BEACH PKWY
City	PANAMA CITY BEACH
State	FL
ZIP	32413
Phone	850 233-4932
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