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45D2183934 CLIA NUMBER - BROOKSHIRE PHARMACY #054

Laboratory Demographics

CLIA Number: 45D2183934

Facility Name: BROOKSHIRE PHARMACY #054

Facility Address:
2228 ISLAND BAYOU
BONHAM, TX
ZIP 75418
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Facility Phone Number: 903 583-2887

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1447323910

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 45D2183934
LAB Type Pharmacy
Facility Name BROOKSHIRE PHARMACY #054
Street 2228 ISLAND BAYOU
City BONHAM
State TX
ZIP 75418
Phone 903 583-2887
CertificateType 4
CertificateEffectiveDate 5/12/2022
CertificateExpirationDate 5/11/2024
FacilityType Waiver

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