10D2194102 CLIA NUMBER - SUPER DISCOUNT PHARMACY LLC

Home > CLIA Lookup > 10D2194102

Laboratory Demographics

CLIA Number: 10D2194102

Facility Name: SUPER DISCOUNT PHARMACY LLC

Facility Address:
1423 S COLLINS ST
PLANT CITY, FL
ZIP 33563
Get Directions

Facility Phone Number: 813 752-1133

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407041817

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	10D2194102
LAB Type	Pharmacy
Facility Name	SUPER DISCOUNT PHARMACY LLC
Street	1423 S COLLINS ST
City	PLANT CITY
State	FL
ZIP	33563
Phone	813 752-1133
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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