02D0955020 CLIA NUMBER - RON'S APOTHECARY SHOPPE

Laboratory Demographics

CLIA Number: 02D0955020

Facility Name: RON'S APOTHECARY SHOPPE

Facility Address:
9101 MENDENHALL MALL ROAD
JUNEAU, AK
ZIP 99801
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Facility Phone Number: 907 789-0458

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912012931

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	02D0955020
LAB Type	Pharmacy
Facility Name	RON'S APOTHECARY SHOPPE
Street	9101 MENDENHALL MALL ROAD
City	JUNEAU
State	AK
ZIP	99801
Phone	907 789-0458
CertificateType	4
CertificateEffectiveDate	8/27/2022
CertificateExpirationDate	8/26/2024
FacilityType	Waiver

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