42D2192798 CLIA NUMBER - EBENEZER HEALTH INVESTORS DBA TRUE PHARMACY

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Laboratory Demographics

CLIA Number: 42D2192798

Facility Name: EBENEZER HEALTH INVESTORS DBA TRUE PHARMACY

Facility Address:
3217 DEVINE STREET
COLUMBIA, SC
ZIP 29205
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Facility Phone Number: 803 849-1500

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1851913974

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	42D2192798
LAB Type	Pharmacy
Facility Name	EBENEZER HEALTH INVESTORS DBA TRUE PHARMACY
Street	3217 DEVINE STREET
City	COLUMBIA
State	SC
ZIP	29205
Phone	803 849-1500
CertificateType	4
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Waiver

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