34D2093901 CLIA NUMBER - REALO DISCOUNT DRUG STORES OF EASTERN NC DBA REALO DISCOUNT DRUGS

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Laboratory Demographics

CLIA Number: 34D2093901

Facility Name: REALO DISCOUNT DRUG STORES OF EASTERN NC DBA REALO DISCOUNT DRUGS

Facility Address:
15441 US HWY 17 SUITE 801
HAMPSTEAD, NC
ZIP 28443
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Facility Phone Number: 910 821-1066

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902142649

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	34D2093901
LAB Type	Pharmacy
Facility Name	REALO DISCOUNT DRUG STORES OF EASTERN NC DBA REALO DISCOUNT DRUGS
Street	15441 US HWY 17 SUITE 801
City	HAMPSTEAD
State	NC
ZIP	28443
Phone	910 821-1066
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