45D2274523 CLIA NUMBER - MEDICAL ARTS PHARMACY

Laboratory Demographics

CLIA Number: 45D2274523

Facility Name: MEDICAL ARTS PHARMACY

Facility Address:
200 WESLEY DRIVE
KERRVILLE, TX
ZIP 78028
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Facility Phone Number: 830 896-0167

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1790180800

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	45D2274523
LAB Type	Pharmacy
Facility Name	MEDICAL ARTS PHARMACY
Street	200 WESLEY DRIVE
City	KERRVILLE
State	TX
ZIP	78028
Phone	830 896-0167
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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