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45D2183763 CLIA NUMBER - BROOKSHIRE PHARMACY #69

Laboratory Demographics

CLIA Number: 45D2183763

Facility Name: BROOKSHIRE PHARMACY #69

Facility Address:
1400 E MAIN
MIDLOTHIAN, TX
ZIP 76065
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Facility Phone Number: 972 775-6878

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1487727954

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 45D2183763
LAB Type Pharmacy
Facility Name BROOKSHIRE PHARMACY #69
Street 1400 E MAIN
City MIDLOTHIAN
State TX
ZIP 76065
Phone 972 775-6878
CertificateType 4
CertificateEffectiveDate 5/11/2022
CertificateExpirationDate 5/10/2024
FacilityType Waiver

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