10D2192609 CLIA NUMBER - FAMILY DRUGS OF INDIANTOWN LLC

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Laboratory Demographics

CLIA Number: 10D2192609

Facility Name: FAMILY DRUGS OF INDIANTOWN LLC

Facility Address:
15690 SW WARFIELD BLVD
INDIANTOWN, FL
ZIP 34956
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Facility Phone Number: 772 597-2250

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689686651

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	10D2192609
LAB Type	Pharmacy
Facility Name	FAMILY DRUGS OF INDIANTOWN LLC
Street	15690 SW WARFIELD BLVD
City	INDIANTOWN
State	FL
ZIP	34956
Phone	772 597-2250
CertificateType	4
CertificateEffectiveDate	9/11/2022
CertificateExpirationDate	9/10/2024
FacilityType	Waiver

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