19D2208471 CLIA NUMBER - RAWLS PHARMACY, LLC

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Laboratory Demographics

CLIA Number: 19D2208471

Facility Name: RAWLS PHARMACY, LLC

Facility Address:
36009 HIGHWAY 38
MOUNT HERMON, LA
ZIP 70450
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Facility Phone Number: 985 877-4700

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104131549

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	19D2208471
LAB Type	Pharmacy
Facility Name	RAWLS PHARMACY, LLC
Street	36009 HIGHWAY 38
City	MOUNT HERMON
State	LA
ZIP	70450
Phone	985 877-4700
CertificateType	4
CertificateEffectiveDate	1/6/2023
CertificateExpirationDate	1/5/2025
FacilityType	Waiver

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