10D2217632 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2217632

Facility Name: WALGREEN CO

Facility Address:
3501 UNIQUE CIRCLE
FORT MYERS, FL
ZIP 33908
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Facility Phone Number: (239) 271-3924

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1174862858

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	10D2217632
LAB Type	PHARMACY
Facility Name	WALGREEN CO
Street	3501 UNIQUE CIRCLE
City	FORT MYERS
State	FL
ZIP	33908
Phone	(239) 271-3924

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