25D2183003 CLIA NUMBER - POLK'S DISCOUNT DRUGS #2

Laboratory Demographics

CLIA Number: 25D2183003

Facility Name: POLK'S DISCOUNT DRUGS #2

Facility Address:
101 49 PLACE
FLORENCE, MS
ZIP 39073
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Facility Phone Number: 601 845-8610

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508961947

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	25D2183003
LAB Type	Pharmacy
Facility Name	POLK'S DISCOUNT DRUGS #2
Street	101 49 PLACE
City	FLORENCE
State	MS
ZIP	39073
Phone	601 845-8610
CertificateType	4
CertificateEffectiveDate	4/28/2022
CertificateExpirationDate	4/27/2024
FacilityType	Waiver

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