Healther Providers Data Logo

10D2215015 CLIA NUMBER - PRESCRIPTION PLACE OF DEFUNIAK SPRINGS INC

Laboratory Demographics

CLIA Number: 10D2215015

Facility Name: PRESCRIPTION PLACE OF DEFUNIAK SPRINGS INC

Facility Address:
1337 US HIGHWAY 90 WEST
DEFUNIAK SPRINGS, FL
ZIP 32433
Get Directions

Facility Phone Number: 850 892-6896

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1457370520

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 10D2215015
LAB Type Pharmacy
Facility Name PRESCRIPTION PLACE OF DEFUNIAK SPRINGS INC
Street 1337 US HIGHWAY 90 WEST
City DEFUNIAK SPRINGS
State FL
ZIP 32433
Phone 850 892-6896
CertificateType 4
CertificateEffectiveDate 2/26/2023
CertificateExpirationDate 2/25/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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