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45D1105065 CLIA NUMBER - TOM THUMB PHARMACY # 2557

Laboratory Demographics

CLIA Number: 45D1105065

Facility Name: TOM THUMB PHARMACY # 2557

Facility Address:
200 N GRAND AVENUE
GAINESVILLE, TX
ZIP 76240
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Facility Phone Number: 940 665-7622

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1346286127

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 45D1105065
LAB Type Pharmacy
Facility Name TOM THUMB PHARMACY # 2557
Street 200 N GRAND AVENUE
City GAINESVILLE
State TX
ZIP 76240
Phone 940 665-7622
CertificateType 4
CertificateEffectiveDate 3/27/2024
CertificateExpirationDate 3/26/2026
FacilityType Waiver

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