02D1078133 CLIA NUMBER - FRED MEYER PHARMACY #158

Laboratory Demographics

CLIA Number: 02D1078133

Facility Name: FRED MEYER PHARMACY #158

Facility Address:
8181 OLD GLACIER ROAD
JUNEAU, AK
ZIP 99801
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Facility Phone Number: (907) 789-6533

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1457374613

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	02D1078133
LAB Type	PHARMACY
Facility Name	FRED MEYER PHARMACY #158
Street	8181 OLD GLACIER ROAD
City	JUNEAU
State	AK
ZIP	99801
Phone	(907) 789-6533

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