10D2209735 CLIA NUMBER - RICHEY MEDICAL PHARMACY

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Laboratory Demographics

CLIA Number: 10D2209735

Facility Name: RICHEY MEDICAL PHARMACY

Facility Address:
5346 GRAND BLVD
NEW PORT RICHEY, FL
ZIP 34652
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Facility Phone Number: 727 807-5344

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245877406

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	10D2209735
LAB Type	Pharmacy
Facility Name	RICHEY MEDICAL PHARMACY
Street	5346 GRAND BLVD
City	NEW PORT RICHEY
State	FL
ZIP	34652
Phone	727 807-5344
CertificateType	4
CertificateEffectiveDate	1/15/2023
CertificateExpirationDate	1/14/2025
FacilityType	Waiver

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