44D2137002 CLIA NUMBER - VONORE DRUG FAMILY WELLNESS CENTER

Laboratory Demographics

CLIA Number: 44D2137002

Facility Name: VONORE DRUG FAMILY WELLNESS CENTER

Facility Address:
1121 HIGHWAY 411
VONORE, TN
ZIP 37885
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Facility Phone Number: 423 884-6274

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1245584036

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	44D2137002
LAB Type	Pharmacy
Facility Name	VONORE DRUG FAMILY WELLNESS CENTER
Street	1121 HIGHWAY 411
City	VONORE
State	TN
ZIP	37885
Phone	423 884-6274
CertificateType	4
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Waiver

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