34D2041608 CLIA NUMBER - WALGREENS #9898

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Laboratory Demographics

CLIA Number: 34D2041608

Facility Name: WALGREENS #9898

Facility Address:
803 N J K POWELL BLVD
WHITEVILLE, NC
ZIP 28472
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Facility Phone Number: 910 640-0900

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245274018

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2041608
LAB Type	Pharmacy
Facility Name	WALGREENS #9898
Street	803 N J K POWELL BLVD
City	WHITEVILLE
State	NC
ZIP	28472
Phone	910 640-0900
CertificateType	4
CertificateEffectiveDate	8/4/2023
CertificateExpirationDate	8/3/2025
FacilityType	Waiver

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