45D1072062 CLIA NUMBER - HEB PHARMACY #387 LP

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Laboratory Demographics

CLIA Number: 45D1072062

Facility Name: HEB PHARMACY #387 LP

Facility Address:
3801 EAST 42ND STREET
ODESSA, TX
ZIP 79762
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Facility Phone Number: 432 362-4555

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619086063

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	45D1072062
LAB Type	Pharmacy
Facility Name	HEB PHARMACY #387 LP
Street	3801 EAST 42ND STREET
City	ODESSA
State	TX
ZIP	79762
Phone	432 362-4555
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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