44D2131098 CLIA NUMBER - VAUGHN PHARMACY

Laboratory Demographics

CLIA Number: 44D2131098

Facility Name: VAUGHN PHARMACY

Facility Address:
2141 EMORY ROAD
POWELL, TN
ZIP 37849
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Facility Phone Number: 865 947-1581

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1124198205

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	44D2131098
LAB Type	Pharmacy
Facility Name	VAUGHN PHARMACY
Street	2141 EMORY ROAD
City	POWELL
State	TN
ZIP	37849
Phone	865 947-1581
CertificateType	4
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	Waiver

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