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45D1072750 CLIA NUMBER - HEB PHARMACY 424

Laboratory Demographics

CLIA Number: 45D1072750

Facility Name: HEB PHARMACY 424

Facility Address:
609 19TH STREET
HONDO, TX
ZIP 78861
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Facility Phone Number: 210 938-2424

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1417066820

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 45D1072750
LAB Type Pharmacy
Facility Name HEB PHARMACY 424
Street 609 19TH STREET
City HONDO
State TX
ZIP 78861
Phone 210 938-2424
CertificateType 4
CertificateEffectiveDate 8/23/2023
CertificateExpirationDate 8/22/2025
FacilityType Waiver

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