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32D1093265 CLIA NUMBER - SMITHS PHARMACY #409

Laboratory Demographics

CLIA Number: 32D1093265

Facility Name: SMITHS PHARMACY #409

Facility Address:
600 EAST 20TH STREET
FARMINGTON, NM
ZIP 87401
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Facility Phone Number: 505 625-1774

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1093730616

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 32D1093265
LAB Type Pharmacy
Facility Name SMITHS PHARMACY #409
Street 600 EAST 20TH STREET
City FARMINGTON
State NM
ZIP 87401
Phone 505 625-1774
CertificateType 4
CertificateEffectiveDate 4/2/2023
CertificateExpirationDate 4/1/2025
FacilityType Waiver

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