10D2088914 CLIA NUMBER - PUBLIX PHARMACY #1316

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Laboratory Demographics

CLIA Number: 10D2088914

Facility Name: PUBLIX PHARMACY #1316

Facility Address:
5055 N 9TH AVE
PENSACOLA, FL
ZIP 32504
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Facility Phone Number: 850 484-9978

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396072757

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	10D2088914
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1316
Street	5055 N 9TH AVE
City	PENSACOLA
State	FL
ZIP	32504
Phone	850 484-9978
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