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32D2154176 CLIA NUMBER - SMITH'S PHARMACY #461

Laboratory Demographics

CLIA Number: 32D2154176

Facility Name: SMITH'S PHARMACY #461

Facility Address:
2308 CERRILOS ROAD
SANTA FE, NM
ZIP 87505
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Facility Phone Number: 505 471-7874

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1447275078

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 32D2154176
LAB Type Pharmacy
Facility Name SMITH'S PHARMACY #461
Street 2308 CERRILOS ROAD
City SANTA FE
State NM
ZIP 87505
Phone 505 471-7874
CertificateType 4
CertificateEffectiveDate 9/7/2022
CertificateExpirationDate 9/6/2024
FacilityType Waiver

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