45D2184674 CLIA NUMBER - MANA GROUP PHARMACIES, LLC

Laboratory Demographics

CLIA Number: 45D2184674

Facility Name: MANA GROUP PHARMACIES, LLC

Facility Address:
2021 N MACARTHUR BLVD UNIT 120
IRVING, TX
ZIP 75061
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Facility Phone Number: 972 254-8156

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1376647339

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	45D2184674
LAB Type	Pharmacy
Facility Name	MANA GROUP PHARMACIES, LLC
Street	2021 N MACARTHUR BLVD UNIT 120
City	IRVING
State	TX
ZIP	75061
Phone	972 254-8156
CertificateType	4
CertificateEffectiveDate	5/22/2022
CertificateExpirationDate	5/21/2024
FacilityType	Waiver

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