45D2216188 CLIA NUMBER - ALLEN PHARMACY & WELLNESS, LLC

Laboratory Demographics

CLIA Number: 45D2216188

Facility Name: ALLEN PHARMACY & WELLNESS, LLC

Facility Address:
945 W STACY RD SUITE 110
ALLEN, TX
ZIP 75013
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Facility Phone Number: 972 372-9775

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336615947

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	45D2216188
LAB Type	Pharmacy
Facility Name	ALLEN PHARMACY & WELLNESS, LLC
Street	945 W STACY RD SUITE 110
City	ALLEN
State	TX
ZIP	75013
Phone	972 372-9775
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

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