10D2239360 CLIA NUMBER - HAWA PHARMACY INC

Laboratory Demographics

CLIA Number: 10D2239360

Facility Name: HAWA PHARMACY INC

Facility Address:
646 S DILLARD STREET
WINTER GARDEN, FL
ZIP 34787
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Facility Phone Number: 407 656-0081

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427120203

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	10D2239360
LAB Type	Pharmacy
Facility Name	HAWA PHARMACY INC
Street	646 S DILLARD STREET
City	WINTER GARDEN
State	FL
ZIP	34787
Phone	407 656-0081
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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