11D2246540 CLIA NUMBER - UNADILLA DRUG COMPANY

Laboratory Demographics

CLIA Number: 11D2246540

Facility Name: UNADILLA DRUG COMPANY

Facility Address:
413 2ND STREET
UNADILLA, GA
ZIP 31091
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Facility Phone Number: 478 627-3041

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245675073

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	11D2246540
LAB Type	Pharmacy
Facility Name	UNADILLA DRUG COMPANY
Street	413 2ND STREET
City	UNADILLA
State	GA
ZIP	31091
Phone	478 627-3041
CertificateType	4
CertificateEffectiveDate	12/28/2023
CertificateExpirationDate	12/27/2025
FacilityType	Waiver

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