45D2145590 CLIA NUMBER - RANDALLS PHARMACY # 2484

Laboratory Demographics

CLIA Number: 45D2145590

Facility Name: RANDALLS PHARMACY # 2484

Facility Address:
5721 WILLIAMS DRIVE
GEORGETOWN, TX
ZIP 78633
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Facility Phone Number: 512 942-6400

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912419649

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	45D2145590
LAB Type	Pharmacy
Facility Name	RANDALLS PHARMACY # 2484
Street	5721 WILLIAMS DRIVE
City	GEORGETOWN
State	TX
ZIP	78633
Phone	512 942-6400
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

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