45D2187824 CLIA NUMBER - BANDERA APOTHECARY LP

Laboratory Demographics

CLIA Number: 45D2187824

Facility Name: BANDERA APOTHECARY LP

Facility Address:
2270 SPRINGLAKE ROAD, STE 800-B FARMERS
FARMERS BRANCH, TX
ZIP 75234
Get Directions

Facility Phone Number: 210 802-0511

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104990639

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	45D2187824
LAB Type	Physician Office
Facility Name	BANDERA APOTHECARY LP
Street	2270 SPRINGLAKE ROAD, STE 800-B FARMERS
City	FARMERS BRANCH
State	TX
ZIP	75234
Phone	210 802-0511
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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