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44D2188131 CLIA NUMBER - PUBLIX TENNESSEE, LLC DBA PUBLIX PHARMACY #1713

Laboratory Demographics

CLIA Number: 44D2188131

Facility Name: PUBLIX TENNESSEE, LLC DBA PUBLIX PHARMACY #1713

Facility Address:
750 WINFIELD DUNN PARKWAY SUITE 100
SEVIERVILLE, TN
ZIP 37876
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Facility Phone Number: 863 688-1188

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1457961401

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 44D2188131
LAB Type Pharmacy
Facility Name PUBLIX TENNESSEE, LLC DBA PUBLIX PHARMACY #1713
Street 750 WINFIELD DUNN PARKWAY SUITE 100
City SEVIERVILLE
State TN
ZIP 37876
Phone 863 688-1188
CertificateType 4
CertificateEffectiveDate 7/13/2022
CertificateExpirationDate 7/12/2024
FacilityType Waiver

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