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45D2249454 CLIA NUMBER - TOM THUMB PHARMACY #3560

Laboratory Demographics

CLIA Number: 45D2249454

Facility Name: TOM THUMB PHARMACY #3560

Facility Address:
8698 SKILLMAN ST
DALLAS, TX
ZIP 75243
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Facility Phone Number: 214 340-1368

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1326084104

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 45D2249454
LAB Type Pharmacy
Facility Name TOM THUMB PHARMACY #3560
Street 8698 SKILLMAN ST
City DALLAS
State TX
ZIP 75243
Phone 214 340-1368
CertificateType 4
CertificateEffectiveDate 1/20/2024
CertificateExpirationDate 1/19/2026
FacilityType Waiver

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