44D2297017 CLIA NUMBER - DEBERRY DRUGS

Laboratory Demographics

CLIA Number: 44D2297017

Facility Name: DEBERRY DRUGS

Facility Address:
834 MULBERRY AVE
SELMER, TN
ZIP 38375
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Facility Phone Number: 731 645-6100

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134117146

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	44D2297017
LAB Type	Pharmacy
Facility Name	DEBERRY DRUGS
Street	834 MULBERRY AVE
City	SELMER
State	TN
ZIP	38375
Phone	731 645-6100
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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