34D2177067 CLIA NUMBER - HARRIS TEETER PHARMACY 097-021

Laboratory Demographics

CLIA Number: 34D2177067

Facility Name: HARRIS TEETER PHARMACY 097-021

Facility Address:
500 OBERLIN ROAD
RALEIGH, NC
ZIP 27605
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Facility Phone Number: 513 762-1090

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1093809022

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	34D2177067
LAB Type	Pharmacy
Facility Name	HARRIS TEETER PHARMACY 097-021
Street	500 OBERLIN ROAD
City	RALEIGH
State	NC
ZIP	27605
Phone	513 762-1090
CertificateType	4
CertificateEffectiveDate	1/2/2024
CertificateExpirationDate	1/1/2026
FacilityType	Waiver

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