34D1066013 CLIA NUMBER - SILER CITY PHARMACY LLC

Laboratory Demographics

CLIA Number: 34D1066013

Facility Name: SILER CITY PHARMACY LLC

Facility Address:
202 EAST RALEIGH ST STE A
SILER CITY, NC
ZIP 27344
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Facility Phone Number: 919 663-5541

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1003863689

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	34D1066013
LAB Type	Pharmacy
Facility Name	SILER CITY PHARMACY LLC
Street	202 EAST RALEIGH ST STE A
City	SILER CITY
State	NC
ZIP	27344
Phone	919 663-5541
CertificateType	4
CertificateEffectiveDate	3/14/2023
CertificateExpirationDate	3/13/2025
FacilityType	Waiver

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