11D1058499 CLIA NUMBER - JIM CASH PHARMACY

Laboratory Demographics

CLIA Number: 11D1058499

Facility Name: JIM CASH PHARMACY

Facility Address:
406 CARROLLTON STREET
BUCHANAN, GA
ZIP 30113
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Facility Phone Number: 770 646-3570

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1891745329

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	11D1058499
LAB Type	Pharmacy
Facility Name	JIM CASH PHARMACY
Street	406 CARROLLTON STREET
City	BUCHANAN
State	GA
ZIP	30113
Phone	770 646-3570
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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