10D2210755 CLIA NUMBER - TOTAL HEALTHCARE ALLIANCE LLC

Laboratory Demographics

CLIA Number: 10D2210755

Facility Name: TOTAL HEALTHCARE ALLIANCE LLC

Facility Address:
3510 DR MARTIN LUTHER KING BLVD STE 1
FORT MYERS, FL
ZIP 33916
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Facility Phone Number: (239) 826-4192

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1487276663

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	10D2210755
LAB Type	PHARMACY
Facility Name	TOTAL HEALTHCARE ALLIANCE LLC
Street	3510 DR MARTIN LUTHER KING BLVD STE 1
City	FORT MYERS
State	FL
ZIP	33916
Phone	(239) 826-4192

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This page was last updated on: 5/11/2023