34D2184458 CLIA NUMBER - HOPE MILLS PHARMACY LLC DBA CLINIC PHARMACY

Laboratory Demographics

CLIA Number: 34D2184458

Facility Name: HOPE MILLS PHARMACY LLC DBA CLINIC PHARMACY

Facility Address:
3736 S MAIN STREET
HOPE MILLS, NC
ZIP 28348
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Facility Phone Number: 910 425-6106

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043739030

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	34D2184458
LAB Type	Pharmacy
Facility Name	HOPE MILLS PHARMACY LLC DBA CLINIC PHARMACY
Street	3736 S MAIN STREET
City	HOPE MILLS
State	NC
ZIP	28348
Phone	910 425-6106
CertificateType	4
CertificateEffectiveDate	5/20/2022
CertificateExpirationDate	5/19/2024
FacilityType	Waiver

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