11D2204461 CLIA NUMBER - GEORGETOWN DRUG COMPANY

Laboratory Demographics

CLIA Number: 11D2204461

Facility Name: GEORGETOWN DRUG COMPANY

Facility Address:
1080 KING GEORGE BOULEVARD
SAVANNAH, GA
ZIP 31419
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Facility Phone Number: 912 920-1500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033224068

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 11D2204461
LAB Type Pharmacy
Facility Name GEORGETOWN DRUG COMPANY
Street 1080 KING GEORGE BOULEVARD
City SAVANNAH
State GA
ZIP 31419
Phone 912 920-1500
CertificateType 4
CertificateEffectiveDate 12/9/2022
CertificateExpirationDate 12/8/2024
FacilityType Waiver

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