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45D1032469 CLIA NUMBER - UNITED PHARMACY # 676

Laboratory Demographics

CLIA Number: 45D1032469

Facility Name: UNITED PHARMACY # 676

Facility Address:
2751 COUNTY ROAD WEST *
ODESSA, TX
ZIP 79764
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Facility Phone Number: 432 333-1591

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1255378717

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 45D1032469
LAB Type Pharmacy
Facility Name UNITED PHARMACY # 676
Street 2751 COUNTY ROAD WEST *
City ODESSA
State TX
ZIP 79764
Phone 432 333-1591
CertificateType 4
CertificateEffectiveDate 2/7/2024
CertificateExpirationDate 2/6/2026
FacilityType Waiver

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