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45D2102999 CLIA NUMBER - UNITED PHARMACY #501

Laboratory Demographics

CLIA Number: 45D2102999

Facility Name: UNITED PHARMACY #501

Facility Address:
2630 PARKWAY DRIVE
LUBBOCK, TX
ZIP 79403
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Facility Phone Number: 806 765-7014

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1427049949

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 45D2102999
LAB Type Pharmacy
Facility Name UNITED PHARMACY #501
Street 2630 PARKWAY DRIVE
City LUBBOCK
State TX
ZIP 79403
Phone 806 765-7014
CertificateType 4
CertificateEffectiveDate 10/2/2023
CertificateExpirationDate 10/1/2025
FacilityType Waiver

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