34D2089177 CLIA NUMBER - PUBLIX PHARMACY #1466

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Laboratory Demographics

CLIA Number: 34D2089177

Facility Name: PUBLIX PHARMACY #1466

Facility Address:
1020 BRADFORD PLAZA WAY
CARY, NC
ZIP 27519
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Facility Phone Number: 919 460-2087

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518369214

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	34D2089177
LAB Type	Pharmacy
Facility Name	PUBLIX PHARMACY #1466
Street	1020 BRADFORD PLAZA WAY
City	CARY
State	NC
ZIP	27519
Phone	919 460-2087
CertificateType	4
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	Waiver

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