34D2093892 CLIA NUMBER - REALO DISCOUNT DRUG STORES OF EASTERN NC, INC DBA REALO DISCOUNT DRUG

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Laboratory Demographics

CLIA Number: 34D2093892

Facility Name: REALO DISCOUNT DRUG STORES OF EASTERN NC, INC DBA REALO DISCOUNT DRUG

Facility Address:
5655 S NC 41 HWY
WALLACE, NC
ZIP 28466
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Facility Phone Number: 910 285-1120

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790111961

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	34D2093892
LAB Type	Pharmacy
Facility Name	REALO DISCOUNT DRUG STORES OF EASTERN NC, INC DBA REALO DISCOUNT DRUG
Street	5655 S NC 41 HWY
City	WALLACE
State	NC
ZIP	28466
Phone	910 285-1120
CertificateType	4
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	Waiver

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