19D2243086 CLIA NUMBER - CHARBONNET FAMILY PHARMACY

Laboratory Demographics

CLIA Number: 19D2243086

Facility Name: CHARBONNET FAMILY PHARMACY

Facility Address:
7211 REGENT ST
NEW ORLEANS, LA
ZIP 70124
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Facility Phone Number: 504 669-3870

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881091643

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	19D2243086
LAB Type	Pharmacy
Facility Name	CHARBONNET FAMILY PHARMACY
Street	7211 REGENT ST
City	NEW ORLEANS
State	LA
ZIP	70124
Phone	504 669-3870
CertificateType	4
CertificateEffectiveDate	11/16/2023
CertificateExpirationDate	11/15/2025
FacilityType	Waiver

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