10D2088917 CLIA NUMBER - PUBLIX PHARMACY #1317

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Laboratory Demographics

CLIA Number: 10D2088917

Facility Name: PUBLIX PHARMACY #1317

Facility Address:
9251 UNIVERSITY PKWY
PENSACOLA, FL
ZIP 32514
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Facility Phone Number: (850) 473-5005

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1174772388

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	10D2088917
LAB Type	PHARMACY
Facility Name	PUBLIX PHARMACY #1317
Street	9251 UNIVERSITY PKWY
City	PENSACOLA
State	FL
ZIP	32514
Phone	(850) 473-5005

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