32D2025329 CLIA NUMBER - SMITHS PHARMACY #491

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Laboratory Demographics

CLIA Number: 32D2025329

Facility Name: SMITHS PHARMACY #491

Facility Address:
2110 S PACHECO ST
SANTA FE, NM
ZIP 87505
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Facility Phone Number: 505 473-5563

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144247768

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	32D2025329
LAB Type	Pharmacy
Facility Name	SMITHS PHARMACY #491
Street	2110 S PACHECO ST
City	SANTA FE
State	NM
ZIP	87505
Phone	505 473-5563
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

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