32D2257989 CLIA NUMBER - NAMBE PHARMACARE LA

Laboratory Demographics

CLIA Number: 32D2257989

Facility Name: NAMBE PHARMACARE LA

Facility Address:
111 CENTRAL PARK SQUARE
LOS ALAMOS, NM
ZIP 87544
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Facility Phone Number: 505 661-9560

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1659768349

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	32D2257989
LAB Type	Pharmacy
Facility Name	NAMBE PHARMACARE LA
Street	111 CENTRAL PARK SQUARE
City	LOS ALAMOS
State	NM
ZIP	87544
Phone	505 661-9560
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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