34D2208801 CLIA NUMBER - BEACH PHARMACY

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Laboratory Demographics

CLIA Number: 34D2208801

Facility Name: BEACH PHARMACY

Facility Address:
57353 NC HWY 12
HATTERAS, NC
ZIP 27943
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Facility Phone Number: 252 986-2400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952416992

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	34D2208801
LAB Type	Physician Office
Facility Name	BEACH PHARMACY
Street	57353 NC HWY 12
City	HATTERAS
State	NC
ZIP	27943
Phone	252 986-2400
CertificateType	4
CertificateEffectiveDate	1/8/2023
CertificateExpirationDate	1/7/2025
FacilityType	Waiver

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