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32D1033586 CLIA NUMBER - ALBERTSONS MARKET PHARMACY #904

Laboratory Demographics

CLIA Number: 32D1033586

Facility Name: ALBERTSONS MARKET PHARMACY #904

Facility Address:
4950 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87109
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Facility Phone Number: 505 883-8703

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1124067509

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 32D1033586
LAB Type Pharmacy
Facility Name ALBERTSONS MARKET PHARMACY #904
Street 4950 MONTGOMERY BLVD NE
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 883-8703
CertificateType 4
CertificateEffectiveDate 11/17/2023
CertificateExpirationDate 11/16/2025
FacilityType Waiver

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