45D2182194 CLIA NUMBER - THURMAN'S PRO-MED PHARMACY

Laboratory Demographics

CLIA Number: 45D2182194

Facility Name: THURMAN'S PRO-MED PHARMACY

Facility Address:
402 N MADISON AVE
MOUNT PLEASANT, TX
ZIP 75455
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Facility Phone Number: 903 572-6337

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1205448255

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	45D2182194
LAB Type	Pharmacy
Facility Name	THURMAN'S PRO-MED PHARMACY
Street	402 N MADISON AVE
City	MOUNT PLEASANT
State	TX
ZIP	75455
Phone	903 572-6337
CertificateType	4
CertificateEffectiveDate	4/17/2024
CertificateExpirationDate	4/16/2026
FacilityType	Waiver

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