45D2247746 CLIA NUMBER - RANDALLS PHARMACY #1031

Laboratory Demographics

CLIA Number: 45D2247746

Facility Name: RANDALLS PHARMACY #1031

Facility Address:
2931 CENTRAL CITY AVE
GALVESTON, TX
ZIP 77551
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Facility Phone Number: 409 740-2488

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568491520

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	45D2247746
LAB Type	Pharmacy
Facility Name	RANDALLS PHARMACY #1031
Street	2931 CENTRAL CITY AVE
City	GALVESTON
State	TX
ZIP	77551
Phone	409 740-2488
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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