45D2179042 CLIA NUMBER - BE WELL PHARMACY AT PLANO

Laboratory Demographics

CLIA Number: 45D2179042

Facility Name: BE WELL PHARMACY AT PLANO

Facility Address:
8000 DOMINION PARKWAY SUITE 100RX
PLANO, TX
ZIP 75024
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Facility Phone Number: 469 476-3344

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558913350

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	45D2179042
LAB Type	Pharmacy
Facility Name	BE WELL PHARMACY AT PLANO
Street	8000 DOMINION PARKWAY SUITE 100RX
City	PLANO
State	TX
ZIP	75024
Phone	469 476-3344
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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