10D2240985 CLIA NUMBER - LOGOS PHARMACY

Laboratory Demographics

CLIA Number: 10D2240985

Facility Name: LOGOS PHARMACY

Facility Address:
7543 W WATERS AVE
TAMPA, FL
ZIP 33615
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Facility Phone Number: 813 886-2822

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659767515

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	10D2240985
LAB Type	Pharmacy
Facility Name	LOGOS PHARMACY
Street	7543 W WATERS AVE
City	TAMPA
State	FL
ZIP	33615
Phone	813 886-2822
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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