34D2182360 CLIA NUMBER - MINT HILL PHARMACY

Laboratory Demographics

CLIA Number: 34D2182360

Facility Name: MINT HILL PHARMACY

Facility Address:
7200 MATTHEWS MINT HILL ROAD
MINT HILL, NC
ZIP 28227
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Facility Phone Number: 704 910-2718

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1144731431

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 34D2182360
LAB Type Pharmacy
Facility Name MINT HILL PHARMACY
Street 7200 MATTHEWS MINT HILL ROAD
City MINT HILL
State NC
ZIP 28227
Phone 704 910-2718
CertificateType 4
CertificateEffectiveDate 4/21/2024
CertificateExpirationDate 4/20/2026
FacilityType Waiver

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