45D1071595 CLIA NUMBER - HEB PHARMACY 543

Laboratory Demographics

CLIA Number: 45D1071595

Facility Name: HEB PHARMACY 543

Facility Address:
1900 TEXAS AVE SOUTH
COLLEGE STATION, TX
ZIP 77840
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Facility Phone Number: 979 693-1238

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992814313

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	45D1071595
LAB Type	Pharmacy
Facility Name	HEB PHARMACY 543
Street	1900 TEXAS AVE SOUTH
City	COLLEGE STATION
State	TX
ZIP	77840
Phone	979 693-1238
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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