10D2195539 CLIA NUMBER - EAST HILL PHARMACY

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Laboratory Demographics

CLIA Number: 10D2195539

Facility Name: EAST HILL PHARMACY

Facility Address:
2899 N 12TH AVE
PENSACOLA, FL
ZIP 32503
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Facility Phone Number: 850 438-7568

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932275690

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	10D2195539
LAB Type	Pharmacy
Facility Name	EAST HILL PHARMACY
Street	2899 N 12TH AVE
City	PENSACOLA
State	FL
ZIP	32503
Phone	850 438-7568
CertificateType	4
CertificateEffectiveDate	10/9/2022
CertificateExpirationDate	10/8/2024
FacilityType	Waiver

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