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10D2149992 CLIA NUMBER - TAMPA PHARMACY 13 LLC

Laboratory Demographics

CLIA Number: 10D2149992

Facility Name: TAMPA PHARMACY 13 LLC

Facility Address:
5908 BRECKENRIDGE PARKWAY
TAMPA, FL
ZIP 33610
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Facility Phone Number: 813 644-7277

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1811133424

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 10D2149992
LAB Type Pharmacy
Facility Name TAMPA PHARMACY 13 LLC
Street 5908 BRECKENRIDGE PARKWAY
City TAMPA
State FL
ZIP 33610
Phone 813 644-7277
CertificateType 4
CertificateEffectiveDate 6/14/2022
CertificateExpirationDate 6/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024