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11D2184972 CLIA NUMBER - INGLES MARKETS, INC (INGLES PHARMACY #457)

Laboratory Demographics

CLIA Number: 11D2184972

Facility Name: INGLES MARKETS, INC (INGLES PHARMACY #457)

Facility Address:
1735 ZEBULON ROAD
GRIFFIN, GA
ZIP 30223
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Facility Phone Number: 770 228-5815

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1003173030

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 11D2184972
LAB Type Pharmacy
Facility Name INGLES MARKETS, INC (INGLES PHARMACY #457)
Street 1735 ZEBULON ROAD
City GRIFFIN
State GA
ZIP 30223
Phone 770 228-5815
CertificateType 4
CertificateEffectiveDate 5/28/2022
CertificateExpirationDate 5/27/2024
FacilityType Waiver

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