10D2089044 CLIA NUMBER - PUBLIX PHARMACY #0417

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Laboratory Demographics

CLIA Number: 10D2089044

Facility Name: PUBLIX PHARMACY #0417

Facility Address:
6030 14TH ST W
BRADENTON, FL
ZIP 34207
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Facility Phone Number: (941) 756-4886

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1891734760

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	10D2089044
LAB Type	PHARMACY
Facility Name	PUBLIX PHARMACY #0417
Street	6030 14TH ST W
City	BRADENTON
State	FL
ZIP	34207
Phone	(941) 756-4886

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