10D2259512 CLIA NUMBER - TOTAL CARE PHARMACY OF BLOOMINGDALE

Laboratory Demographics

CLIA Number: 10D2259512

Facility Name: TOTAL CARE PHARMACY OF BLOOMINGDALE

Facility Address:
8702 HUNTERS LAKE DR
TAMPA, FL
ZIP 33647
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Facility Phone Number: 813 689-2273

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1457741696

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	10D2259512
LAB Type	Pharmacy
Facility Name	TOTAL CARE PHARMACY OF BLOOMINGDALE
Street	8702 HUNTERS LAKE DR
City	TAMPA
State	FL
ZIP	33647
Phone	813 689-2273
CertificateType	4
CertificateEffectiveDate	5/6/2024
CertificateExpirationDate	5/5/2026
FacilityType	Waiver

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