10D2232029 CLIA NUMBER - WALGREEN CO

Laboratory Demographics

CLIA Number: 10D2232029

Facility Name: WALGREEN CO

Facility Address:
4204 PALM BEACH RD
FORT MYERS, FL
ZIP 33905
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Facility Phone Number: (239) 694-2114

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1740295963

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 10D2232029
LAB Type PHARMACY
Facility Name WALGREEN CO
Street 4204 PALM BEACH RD
City FORT MYERS
State FL
ZIP 33905
Phone (239) 694-2114

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