10D2197820 CLIA NUMBER - WISE'S DRUG STORE INC.,

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Laboratory Demographics

CLIA Number: 10D2197820

Facility Name: WISE'S DRUG STORE INC.,

Facility Address:
708 SW 4TH AVENUE
GAINESVILLE, FL
ZIP 32601
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Facility Phone Number: 352 376-8286

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942340864

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	10D2197820
LAB Type	Pharmacy
Facility Name	WISE'S DRUG STORE INC.,
Street	708 SW 4TH AVENUE
City	GAINESVILLE
State	FL
ZIP	32601
Phone	352 376-8286
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

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