21D2287044 CLIA NUMBER - HEREFORD PHARMACY

Laboratory Demographics

CLIA Number: 21D2287044

Facility Name: HEREFORD PHARMACY

Facility Address:
216 MOUNT CARMEL RD
PARKTON, MD
ZIP 21120
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Facility Phone Number: 410 329-6209

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972690162

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	21D2287044
LAB Type	Pharmacy
Facility Name	HEREFORD PHARMACY
Street	216 MOUNT CARMEL RD
City	PARKTON
State	MD
ZIP	21120
Phone	410 329-6209
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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