45D2291154 CLIA NUMBER - ROCK PHARMACY LLC

Laboratory Demographics

CLIA Number: 45D2291154

Facility Name: ROCK PHARMACY LLC

Facility Address:
1201 S MAIN ST # 121
BOERNE, TX
ZIP 78006
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Facility Phone Number: 830 357-5052

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124394283

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	45D2291154
LAB Type	Physician Office
Facility Name	ROCK PHARMACY LLC
Street	1201 S MAIN ST # 121
City	BOERNE
State	TX
ZIP	78006
Phone	830 357-5052
CertificateType	4
CertificateEffectiveDate	10/5/2023
CertificateExpirationDate	10/4/2025
FacilityType	Waiver

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