44D2193250 CLIA NUMBER - HIXSON PHARMACY

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Laboratory Demographics

CLIA Number: 44D2193250

Facility Name: HIXSON PHARMACY

Facility Address:
5508 HIXSON PIKE SUITE 1
HIXSON, TN
ZIP 37343
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Facility Phone Number: 423 498-5900

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053800458

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	44D2193250
LAB Type	Pharmacy
Facility Name	HIXSON PHARMACY
Street	5508 HIXSON PIKE SUITE 1
City	HIXSON
State	TN
ZIP	37343
Phone	423 498-5900
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

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