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49D2137621 CLIA NUMBER - PUBLIX PHARMACY #1587

Laboratory Demographics

CLIA Number: 49D2137621

Facility Name: PUBLIX PHARMACY #1587

Facility Address:
3460 PUMP ROAD
RICHMOND, VA
ZIP 23233
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Facility Phone Number: 804 253-9867

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013458025

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 49D2137621
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1587
Street 3460 PUMP ROAD
City RICHMOND
State VA
ZIP 23233
Phone 804 253-9867
CertificateType 4
CertificateEffectiveDate 10/2/2023
CertificateExpirationDate 10/1/2025
FacilityType Waiver

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