11D2240223 CLIA NUMBER - CALHOUN DRUG LLC DBA CALHOUN DRUG COMPANY

Laboratory Demographics

CLIA Number: 11D2240223

Facility Name: CALHOUN DRUG LLC DBA CALHOUN DRUG COMPANY

Facility Address:
450 RED BUD ROAD
CALHOUN, GA
ZIP 30701
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Facility Phone Number: 706 629-2426

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306453428

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	11D2240223
LAB Type	Pharmacy
Facility Name	CALHOUN DRUG LLC DBA CALHOUN DRUG COMPANY
Street	450 RED BUD ROAD
City	CALHOUN
State	GA
ZIP	30701
Phone	706 629-2426
CertificateType	4
CertificateEffectiveDate	10/18/2023
CertificateExpirationDate	10/17/2025
FacilityType	Waiver

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