45D2134757 CLIA NUMBER - LOVE OAK PHARMACY

Laboratory Demographics

CLIA Number: 45D2134757

Facility Name: LOVE OAK PHARMACY

Facility Address:
805 W MAIN STREET
EASTLAND, TX
ZIP 76448
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Facility Phone Number: 254 629-1791

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1366819260

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	45D2134757
LAB Type	Pharmacy
Facility Name	LOVE OAK PHARMACY
Street	805 W MAIN STREET
City	EASTLAND
State	TX
ZIP	76448
Phone	254 629-1791
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