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02D1096637 CLIA NUMBER - FRED MEYER PHARMACY #018

Laboratory Demographics

CLIA Number: 02D1096637

Facility Name: FRED MEYER PHARMACY #018

Facility Address:
7701 DEBARR ROAD
ANCHORAGE, AK
ZIP 99504
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Facility Phone Number: 907 269-1733

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1417993965

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 02D1096637
LAB Type Pharmacy
Facility Name FRED MEYER PHARMACY #018
Street 7701 DEBARR ROAD
City ANCHORAGE
State AK
ZIP 99504
Phone 907 269-1733
CertificateType 4
CertificateEffectiveDate 3/9/2023
CertificateExpirationDate 3/8/2025
FacilityType Waiver

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