10D2225434 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2225434

Facility Name: WALGREEN CO

Facility Address:
301 N TYNDALL PKWY
PANAMA CITY, FL
ZIP 32404
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Facility Phone Number: 850 522-5321

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083789986

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	10D2225434
LAB Type	Pharmacy
Facility Name	WALGREEN CO
Street	301 N TYNDALL PKWY
City	PANAMA CITY
State	FL
ZIP	32404
Phone	850 522-5321
CertificateType	4
CertificateEffectiveDate	5/20/2023
CertificateExpirationDate	5/19/2025
FacilityType	Waiver

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