02D1013247 CLIA NUMBER - FRED MEYER PHARMACY #485

Laboratory Demographics

CLIA Number: 02D1013247

Facility Name: FRED MEYER PHARMACY #485

Facility Address:
3755 AIRPORT WAY
FAIRBANKS, AK
ZIP 99709
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Facility Phone Number: (907) 474-1433

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1508802059

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	02D1013247
LAB Type	PHARMACY
Facility Name	FRED MEYER PHARMACY #485
Street	3755 AIRPORT WAY
City	FAIRBANKS
State	AK
ZIP	99709
Phone	(907) 474-1433

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This page was last updated on: 5/11/2023