45D2241557 CLIA NUMBER - INTEGRICARE PHARMACY

Laboratory Demographics

CLIA Number: 45D2241557

Facility Name: INTEGRICARE PHARMACY

Facility Address:
1505 W MCDERMOTT DR SUITE 125
ALLEN, TX
ZIP 75013
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Facility Phone Number: 972 212-9368

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1972147791

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 45D2241557
LAB Type Pharmacy
Facility Name INTEGRICARE PHARMACY
Street 1505 W MCDERMOTT DR SUITE 125
City ALLEN
State TX
ZIP 75013
Phone 972 212-9368
CertificateType 4
CertificateEffectiveDate 10/29/2023
CertificateExpirationDate 10/28/2025
FacilityType Waiver

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