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49D2151132 CLIA NUMBER - PUBLIX PHARMACY #1636

Laboratory Demographics

CLIA Number: 49D2151132

Facility Name: PUBLIX PHARMACY #1636

Facility Address:
7045 FOREST HILL AVE
RICHMOND, VA
ZIP 23225
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Facility Phone Number: 804 253-0351

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1932699618

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 49D2151132
LAB Type Pharmacy
Facility Name PUBLIX PHARMACY #1636
Street 7045 FOREST HILL AVE
City RICHMOND
State VA
ZIP 23225
Phone 804 253-0351
CertificateType 4
CertificateEffectiveDate 7/12/2022
CertificateExpirationDate 7/11/2024
FacilityType Waiver

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