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45D2123879 CLIA NUMBER - UNITED PHARMACY #573

Laboratory Demographics

CLIA Number: 45D2123879

Facility Name: UNITED PHARMACY #573

Facility Address:
101 N WASHINGTON
SEYMOUR, TX
ZIP 76380
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Facility Phone Number: 940 889-3622

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1265447866

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 45D2123879
LAB Type Pharmacy
Facility Name UNITED PHARMACY #573
Street 101 N WASHINGTON
City SEYMOUR
State TX
ZIP 76380
Phone 940 889-3622
CertificateType 4
CertificateEffectiveDate 1/5/2023
CertificateExpirationDate 1/4/2025
FacilityType Waiver

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