42D2232757 CLIA NUMBER - LANDYS PHARMACY

Laboratory Demographics

CLIA Number: 42D2232757

Facility Name: LANDYS PHARMACY

Facility Address:
835 SPARKLEBERRY LN
COLUMBIA, SC
ZIP 29229
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Facility Phone Number: 803 567-3107

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558756072

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	42D2232757
LAB Type	Pharmacy
Facility Name	LANDYS PHARMACY
Street	835 SPARKLEBERRY LN
City	COLUMBIA
State	SC
ZIP	29229
Phone	803 567-3107
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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