10D2232730 CLIA NUMBER - CONSULT RX PHARMACY, LLC

Laboratory Demographics

CLIA Number: 10D2232730

Facility Name: CONSULT RX PHARMACY, LLC

Facility Address:
1119 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304
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Facility Phone Number: 954 990-5326

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780268821

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	10D2232730
LAB Type	Pharmacy
Facility Name	CONSULT RX PHARMACY, LLC
Street	1119 E SUNRISE BLVD
City	FORT LAUDERDALE
State	FL
ZIP	33304
Phone	954 990-5326
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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