52D2267319 CLIA NUMBER - PILL BOXX LLC

Laboratory Demographics

CLIA Number: 52D2267319

Facility Name: PILL BOXX LLC

Facility Address:
3074 S 13TH ST
MILWAUKEE, WI
ZIP 53215
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Facility Phone Number: 414 250-0068

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1104578145

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	52D2267319
LAB Type	Pharmacy
Facility Name	PILL BOXX LLC
Street	3074 S 13TH ST
City	MILWAUKEE
State	WI
ZIP	53215
Phone	414 250-0068
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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