34D2188878 CLIA NUMBER - GARNER 5TH AVENUE PHARMACY INC

Laboratory Demographics

CLIA Number: 34D2188878

Facility Name: GARNER 5TH AVENUE PHARMACY INC

Facility Address:
1315 FIFTH AVENUE
GARNER, NC
ZIP 27529
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Facility Phone Number: 919 747-9482

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154961290

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	34D2188878
LAB Type	Pharmacy
Facility Name	GARNER 5TH AVENUE PHARMACY INC
Street	1315 FIFTH AVENUE
City	GARNER
State	NC
ZIP	27529
Phone	919 747-9482
CertificateType	4
CertificateEffectiveDate	7/23/2022
CertificateExpirationDate	7/22/2024
FacilityType	Waiver

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