10D2186373 CLIA NUMBER - PALM HARBOR PHARMACY

Laboratory Demographics

CLIA Number: 10D2186373

Facility Name: PALM HARBOR PHARMACY

Facility Address:
34650 US HWY 19 N - STE 101
PALM HARBOR, FL
ZIP 34684
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Facility Phone Number: 727 787-2273

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427378488

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	10D2186373
LAB Type	Pharmacy
Facility Name	PALM HARBOR PHARMACY
Street	34650 US HWY 19 N - STE 101
City	PALM HARBOR
State	FL
ZIP	34684
Phone	727 787-2273
CertificateType	4
CertificateEffectiveDate	6/16/2022
CertificateExpirationDate	6/15/2024
FacilityType	Waiver

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