10D2247993 CLIA NUMBER - MANATEE DISCOUNT PHARMACY

Laboratory Demographics

CLIA Number: 10D2247993

Facility Name: MANATEE DISCOUNT PHARMACY

Facility Address:
5186 78TH ST CIR E
BRADENTON, FL
ZIP 34209
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Facility Phone Number: 941 209-1234

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831515121

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	10D2247993
LAB Type	Pharmacy
Facility Name	MANATEE DISCOUNT PHARMACY
Street	5186 78TH ST CIR E
City	BRADENTON
State	FL
ZIP	34209
Phone	941 209-1234
CertificateType	4
CertificateEffectiveDate	1/11/2024
CertificateExpirationDate	1/10/2026
FacilityType	Waiver

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