02D2082382 CLIA NUMBER - CARRS PHARMACY #1811

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Laboratory Demographics

CLIA Number: 02D2082382

Facility Name: CARRS PHARMACY #1811

Facility Address:
595 E PARKS HWY #300
WASILLA, AK
ZIP 99687
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Facility Phone Number: 907 352-1160

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831128875

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	02D2082382
LAB Type	Pharmacy
Facility Name	CARRS PHARMACY #1811
Street	595 E PARKS HWY #300
City	WASILLA
State	AK
ZIP	99687
Phone	907 352-1160
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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